{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T16:32:39Z","timestamp":1783355559706,"version":"3.54.6"},"reference-count":56,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diseases"],"abstract":"<jats:p>Objective: To map and synthesize the published literature on the epidemiological burden of urinary tract infections (UTIs) in adults with spinal cord injury (SCI) or multiple sclerosis (MS) using intermittent catheterization (IC). Methods: We conducted a comprehensive literature review following PRISMA guidelines, searching PubMed, Scopus, and Web of Science for studies published since 2014. A total of 30 studies met the inclusion criteria. Results: Reported UTI incidence varied widely from 24% to 93.1%, highlighting significant heterogeneity across the evidence base. Annually, 15\u201317% of patients experienced 4\u20136 UTIs, and up to 16.4% required hospitalization for UTI-related complications. A critical evidence gap was exposed, with only one study focusing specifically on the MS population. Conclusions: Despite its clinical benefits, IC remains underutilized and inconsistently supported. Addressing systemic delivery gaps is essential. UTIs in neurogenic bladder care should be recognized as a modifiable public health issue requiring equity-driven interventions and strengthened implementation frameworks. This review underscores the urgent need for methodologically rigorous research to establish clear best practices.<\/jats:p>","DOI":"10.3390\/diseases14020058","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:48:01Z","timestamp":1770115681000},"page":"58","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Silent Burden of Urinary Tract Infections in Intermittent Catheter Users with Neurological Disorders: A Scoping Review"],"prefix":"10.3390","volume":"14","author":[{"given":"Floriana","family":"D\u2019Ambrosio","sequence":"first","affiliation":[{"name":"Department of Life Sciences, Health and Health Professions, Link Campus University, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciro","family":"Pappalardo","sequence":"additional","affiliation":[{"name":"Section of Hygiene, Department of Life Sciences and Public Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Scardigno","sequence":"additional","affiliation":[{"name":"Section of Hygiene, Department of Life Sciences and Public Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2690-7157","authenticated-orcid":false,"given":"Manuel Del","family":"Medico","sequence":"additional","affiliation":[{"name":"Section of Hygiene, Department of Life Sciences and Public Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0066-9623","authenticated-orcid":false,"given":"Pietro Eric","family":"Risuleo","sequence":"additional","affiliation":[{"name":"Section of Hygiene, Department of Life Sciences and Public Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-4347","authenticated-orcid":false,"given":"Francesca","family":"Orsini","sequence":"additional","affiliation":[{"name":"Laboratory of Pharmacoepidemiology and Human Nutrition, Department of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Ricciardi","sequence":"additional","affiliation":[{"name":"VIHTALI (Value in Health Technology and Academy for Leadership & Innovation), Spin-Off of Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5156-1663","authenticated-orcid":false,"given":"Elisabetta","family":"De Vito","sequence":"additional","affiliation":[{"name":"Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy"},{"name":"European University of Technology EUt+, European Union, 03043 Cassino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5655-688X","authenticated-orcid":false,"given":"Walter","family":"Ricciardi","sequence":"additional","affiliation":[{"name":"Section of Hygiene, Department of Life Sciences and Public Health, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0259-3797","authenticated-orcid":false,"given":"Giovanna Elisa","family":"Calabr\u00f2","sequence":"additional","affiliation":[{"name":"VIHTALI (Value in Health Technology and Academy for Leadership & Innovation), Spin-Off of Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"},{"name":"Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy"},{"name":"European University of Technology EUt+, European Union, 03043 Cassino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/WON.0b013e3182750117","article-title":"Barriers, complications, adherence, and self-reported quality of life for people using clean intermittent catheterization","volume":"40","author":"Bolinger","year":"2013","journal-title":"J. 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