{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T08:29:44Z","timestamp":1759048184721,"version":"3.40.5"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951523000949_sec1a\"><jats:title>Objectives<\/jats:title><jats:p>Purple urine bag syndrome (PUBS) is a condition that causes an intense purple discoloration of the urine, predominately in frail, dependent, and bedridden persons who are chronically catheterized and have urinary tract infections. Despite being considered a benign syndrome, PUBS can cause great anxiety, fear, and distress in health professionals, chronically ill persons, and caregivers or family members who provide care.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951523000949_sec2b\"><jats:title>Methods<\/jats:title><jats:p>We report the case of a 98-year-old institutionalized woman with Alzheimer\u2019s dementia with a long-term urinary catheter who developed PUBS.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951523000949_sec3c\"><jats:title>Results<\/jats:title><jats:p>Although alarming and distressing for the resident and the health-care team, PUBS was resolved by treating the underlying urinary tract infection and applying good genital hygiene and catheter replacement.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951523000949_sec4d\"><jats:title>Significance of results<\/jats:title><jats:p>Identifying PUBS and its clinical features and management proved to be significantly helpful in ameliorating the anxiety, fear, and distress around the phenomenon.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951523000949","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T07:59:38Z","timestamp":1689148778000},"page":"424-426","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["<i>The color purple:<\/i> Purple urine bag syndrome: Identifying the phenomenon to ease unnecessary anxiety, fear, and distress"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9283-5045","authenticated-orcid":false,"given":"Miguel","family":"Juli\u00e3o","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"S1478951523000949_ref6","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/419213"},{"key":"S1478951523000949_ref7","doi-asserted-by":"crossref","first-page":"729","DOI":"10.2147\/CIA.S3534","article-title":"Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review","volume":"3","author":"Lin","year":"2008","journal-title":"Clinical Interventions in Aging"},{"key":"S1478951523000949_ref4","first-page":"PR01","article-title":"Purple urine bag syndrome: Series of nine cases and review of literature","volume":"12","author":"Goyal","year":"2018","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"S1478951523000949_ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9131872"},{"key":"S1478951523000949_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2009.01.030"},{"key":"S1478951523000949_ref3","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.26.10.2152-2156.1988"},{"key":"S1478951523000949_ref10","first-page":"249","article-title":"Trends in the epidemiology of purple urine bag syndrome: A systematic review","volume":"8","author":"Yang","year":"2018","journal-title":"Biomedical Reports"},{"key":"S1478951523000949_ref8","doi-asserted-by":"publisher","DOI":"10.1080\/21556660.2019.1579727"},{"key":"S1478951523000949_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)90667-0"},{"key":"S1478951523000949_ref2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/863853"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951523000949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T08:27:48Z","timestamp":1708417668000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951523000949\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,12]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["S1478951523000949"],"URL":"https:\/\/doi.org\/10.1017\/s1478951523000949","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"type":"print","value":"1478-9515"},{"type":"electronic","value":"1478-9523"}],"subject":[],"published":{"date-parts":[[2023,7,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}