Purple urine bag syndrome: A systematic review with meta-analysis - 14/12/17
Abstract |
Introduction |
Purple urine bag syndrome (PUBS) is secondary to bacterial urinary tract infections in long-term catheterized patients. Our objective was to perform a systematic review of the literature to assess its predisposing factors, clinical presentation, management and outcomes.
Methods |
The terms “purple AND urine” were searched in MEDLINE, EMBASE, LILACS, SciELO, Google Scholar and OpenGrey. A meta-analysis with individual patient-level data and another one with aggregate-level data were performed.
Results |
Out of 6793 citations, 140 were included. A meta-analysis was done with 169 PUBS cases: 63.5% women, median age 78 years (IQR: 70–85), 59.4% asymptomatic. Outcome (n=117): 7.7% deaths, 21.4% recurrence. Dementia was the only factor associated with recurrence (OR: 5.44; P=0.046). In an aggregate-level data, meta-analysis (281 PUBS cases) prevalence of PUBS in chronically-catheterized patients was 11.7%. Escherichia coli and Proteus mirabilis were the microorganisms most frequently isolated.
Conclusion |
PUBS usually affects chronically-catheterized women. Neither antibiotics nor catheter removal were associated with better outcomes.
Le texte complet de cet article est disponible en PDF.Keywords : Meta-analysis, Purple urine bag syndrome, Systematic review, Urinary tract infections
Plan
Vol 8 - N° 3
P. 221-227 - juillet 2017 Retour au numéro
Article précédent
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