{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:10:25Z","timestamp":1787008225492,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T00:00:00Z","timestamp":1573603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We examined clinical outcomes among combat casualties with genitourinary injuries after blast trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Characteristics, clinical care, urologic complications, and infections for subjects enrolled in the Trauma Infectious Disease Outcomes Study (TIDOS) were collected from Department of Defense (DOD) and Department of Veterans Affairs (VA) sources. Logistic regression identified predictors for urinary tract infections (UTIs) after genitourinary trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 530 TIDOS enrollees who entered VA care, 89 (17%) sustained genitourinary trauma. The majority of subjects (93%) were injured via a blast and 27% had a dismounted complex blast injury (DCBI). Sexual dysfunction was reported with 36% of subjects, whereas 14% had urinary retention\/incontinence and 8% had urethral stricture. Urologic complications were comparable between patients with and without DCBIs. Nineteen (21%) subjects had one or more UTI with a total of 40 unique UTI events (25% during initial hospitalization and 75% during subsequent DOD or VA care). The UTI incidence rate was 0.89 per patient-year during initial hospitalization, 0.05 per patient-year during DOD follow-up, and 0.07 per patient-year during VA healthcare. Subjects with UTIs had a higher proportion of bladder injury (53% vs. 13%; p\u2009&lt;\u20090.001), posterior urethral injury (26% vs. 1%; p\u2009=\u20090.001), pelvic fracture (47% vs. 4%; p\u2009&lt;\u20090.001), soft-tissue infection of the pelvis\/hip (37% vs. 4%; p\u2009=\u20090.001), urinary catheterization (47% vs. 11%; p\u2009&lt;\u20090.001), urinary retention or incontinence (42% vs. 6%; p\u2009&lt;\u20090.001), and stricture (26% vs. 3%; p\u2009=\u20090.004) compared with patients with genitourinary trauma and no UTI. Independent UTI risk factors were occurrence of a soft-tissue infection at the pelvis\/hip, trauma to the urinary tract, and transtibial amputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Among combat casualties with genitourinary trauma, UTIs are a common complication, particularly with severe blast injury and urologic sequelae. Episodes of UTIs typically occur early after the initial injury while in DOD care, however, recurrent infections may continue into long-term VA care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2019.013","type":"journal-article","created":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T13:17:38Z","timestamp":1558444658000},"page":"611-618","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Urinary Tract Infections after Combat-Related Genitourinary Trauma"],"prefix":"10.1177","volume":"20","author":[{"given":"Stephen Y.","family":"Liang","sequence":"first","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Jackson","sequence":"additional","affiliation":[{"name":"Veterans Affairs St. Louis Health Care System, St. Louis, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis","family":"Kuhn","sequence":"additional","affiliation":[{"name":"Veterans Affairs St. Louis Health Care System, St. Louis, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faraz","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Preventive Medicine &amp; Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland."},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana M.","family":"Blyth","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center, JBSA Fort Sam Houston, Texas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Whitman","sequence":"additional","affiliation":[{"name":"Walter Reed National Military Medical Center, Bethesda, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph L.","family":"Petfield","sequence":"additional","affiliation":[{"name":"Landstuhl Regional Medical Center, Landstuhl, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Leigh","family":"Carson","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Preventive Medicine &amp; Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland."},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Tribble","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Preventive Medicine &amp; Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay R.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri."},{"name":"Veterans Affairs St. Louis Health Care System, St. Louis, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Infectious Disease Clinical Research Program Trauma Infectious Disease Outcomes Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.11.031"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000245894.78941.90"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jomh.2013.1504"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-2013-000029"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.08.005"},{"key":"e_1_3_3_7_2","first-page":"S175","article-title":"Combat urologic trauma in US military overseas contingency operations","volume":"69","author":"Serkin FB","year":"2010","unstructured":"Serkin FB, , Soderdahl DW, , Hernandez J, et al. 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CDC\/NHSN Surveillance Definitions for Specific Types of Infections. www.cdc.gov\/nhsn\/pdfs\/pscmanual\/17pscnosinfdef_current.pdf. 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