{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T22:00:48Z","timestamp":1784757648145,"version":"3.55.0"},"reference-count":94,"publisher":"American Spinal Injury Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022]]},"abstract":"\n Background<\/jats:title>\n Complicated urinary tract infection (cUTI) is pervasive and costly among people with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction (NLUTD).<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n \n To describe the protocol for a comparative effectiveness randomized controlled trial of intravesical\n Lactobacillus rhamnosus<\/jats:italic>\n GG (LGG) versus saline bladder wash (BW) for self-management of urinary symptoms.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Comparative effectiveness trial of self-administered LGG versus saline bladder wash among 120 participants with SCI+NLUTD at least 6 months post SCI. The study has both treatment and prophylaxis phases. After predictive enrichment at screening, randomized participants will enter the treatment phase (6 months) in which they instill either LGG or normal saline after trigger symptoms occur (more cloudy or more foul-smelling urine). In the prophylaxis phase (6 months), participants will instill their respective intervention every 3 days after the first occurrence of trigger symptoms.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Study results will provide a comparison of effects on Urinary Symptom Questionnaire for Neurogenic Bladder (USQNB) bladder and urine symptoms and episodes of \u201cpresumed UTIs\u201d; number of days antibiotics were used (both self-reported); days of work, school, rehabilitation, or other activity lost due to urinary symptoms; engagement with the health care system; number of instillations; satisfaction; and safety.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n cUTI is a variable clinical entity. Unlike clinical trials that assume a single, simple entity (UTI) in inclusion or outcome criteria, this protocol targets the mechanisms underlying cUTI causes and phenotypes. Featuring reliable and valid outcome measures with analytic methods specifically appropriate for quantifying self-report, patient self-management, inclusion of both intervention and prophylactic phases, and predictive enrichment, these design elements may be adopted for future research.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci22-00005","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T09:38:04Z","timestamp":1668677884000},"page":"12-21","source":"Crossref","is-referenced-by-count":6,"title":["Intravesical Lactobacillus rhamnosus GG versus Saline Bladder Wash: Protocol for a Randomized, Controlled, Comparative Effectiveness Clinical Trial"],"prefix":"10.46292","volume":"28","author":[{"given":"Suzanne L.","family":"Groah","sequence":"first","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"},{"name":"MedStar Georgetown University Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rochelle E.","family":"Tractenberg","sequence":"additional","affiliation":[{"name":"Collaborative for Research on Outcomes and Metrics, and Departments of Neurology, Biostatistics, Bioinformatics & Biomathematics, and Rehabilitation Medicine, Georgetown University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"issue":"12","key":"i1945-5763-28-4-12-b1","series-title":"Nat Rev Urol","doi-asserted-by":"publisher","first-page":"750","DOI":"10.1038\/s41585-018-0106-x","article-title":"Nonantibiotic prevention and management of recurrent urinary tract infection","volume":"15","year":"2018","unstructured":"Sihra\n N,\n \n \n Goodman\n A,\n \n \n Zakri\n R,\n \n \n Sahai\n A,\n \n \n Malde\n S.\n \n \n Nonantibiotic prevention and management of recurrent urinary tract infection.\n\t\t\t\t\tNat Rev Urol.\n\t\t\t\t\t2018;\n\t\t\t\t\t15(\n\t\t\t\t\t12):\n\t\t\t\t\t750\u2013\n\t\t\t\t\t776.\n\t\t\t\t\tdoi:10.1038\/s41585-018-0106-x"},{"key":"i1945-5763-28-4-12-b2","series-title":"Ther Adv Urol","doi-asserted-by":"publisher","DOI":"10.1177\/1756287219832172","article-title":"An introduction to the epidemiology and burden of urinary tract infections","volume":"11","year":"2019","unstructured":"Medina\n M,\n \n \n Castillo-Pino\n E.\n \n \n An introduction to the epidemiology and burden of urinary tract infections.\n\t\t\t\t\tTher Adv Urol.\n\t\t\t\t\t2019;\n\t\t\t\t\t11:\n\t\t\t\t\t1756287219832172. doi:10.1177\/1756287219832172"},{"issue":"5","key":"i1945-5763-28-4-12-b3","series-title":"J Rehabil. 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F,\n \n \n Hoffman\n JM,\n \n \n Reyes\n M,\n \n \n Burns\n SP.\n \n \n Examining health-care utilization in the first year following spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2015;\n\t\t\t\t\t38(\n\t\t\t\t\t6):\n\t\t\t\t\t690\u2013\n\t\t\t\t\t695.\n\t\t\t\t\tdoi:10.1179\/2045772314Y.0000000269"},{"issue":"9","key":"i1945-5763-28-4-12-b7","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"1614","DOI":"10.1016\/j.apmr.2019.02.013","article-title":"Genitourinary complications are a leading and expensive cause of emergency department and inpatient encounters for persons with spinal cord injury","volume":"100","year":"2019","unstructured":"Skelton\n F,\n \n \n Salemi\n JL,\n \n \n Akpati\n L,\n \n \n .\n\t\t\t\t\tGenitourinary complications are a leading and expensive cause of emergency department and inpatient encounters for persons with spinal cord injury.\n\t\t\t\t\tArch Phys Med 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EE,\n \n \n .\n\t\t\t\t\tThe clinical urine culture: Enhanced techniques improve detection of clinically relevant microorganisms.\n\t\t\t\t\tJ Clin Microbiol.\n\t\t\t\t\t2016;\n\t\t\t\t\t54(\n\t\t\t\t\t5):\n\t\t\t\t\t1216\u2013\n\t\t\t\t\t1222.\n\t\t\t\t\tdoi:10.1128\/JCM.00044-16"},{"key":"i1945-5763-28-4-12-b28","series-title":"Ann Transl Med","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21037\/atm.2016.11.62","article-title":"The female urinary microbiota, urinary health and common urinary disorders","volume":"5","year":"2017","unstructured":"Brubaker\n L,\n \n \n Wolfe\n AJ.\n \n \n The female urinary microbiota, urinary health and common urinary disorders.\n\t\t\t\t\tAnn Transl Med.\n\t\t\t\t\t2017;\n\t\t\t\t\t5:\n\t\t\t\t\t34\u2013\n\t\t\t\t\t34.\n\t\t\t\t\tdoi:10.21037\/atm.2016.11.62"},{"issue":"1","key":"i1945-5763-28-4-12-b29","series-title":"Neurourol Urodyn","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1002\/nau.22378","article-title":"Factors 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content: Delphi consensus survey.\n\t\t\t\t\tTrials.\n\t\t\t\t\t2012;\n\t\t\t\t\t13(\n\t\t\t\t\t1):\n\t\t\t\t\t176.\n\t\t\t\t\tdoi:10.1186\/1745-6215-13-176"},{"key":"i1945-5763-28-4-12-b31","series-title":"PM R","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12470","article-title":"Effects of intravesical Lactobacillus rhamnosus GG on urinary symptom burden in people with neurogenic lower urinary tract dysfunction [published online August 14, 2020]","unstructured":"Tractenberg\n RE,\n \n \n Groah\n SL,\n \n \n Frost\n JK,\n \n \n .\n\t\t\t\t\tEffects of intravesical Lactobacillus rhamnosus GG on urinary symptom burden in people with neurogenic lower urinary tract dysfunction [published online August 14, 2020].\n\t\t\t\t\tPM R.\n\t\t\t\t\tdoi:10.1002\/pmrj.12470"},{"key":"i1945-5763-28-4-12-b32","series-title":"Enrichment strategies for clinical trials to support determination of effectiveness of human drugs and biological products guidance for 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trial.\n\t\t\t\t\tTher Adv Urol.\n\t\t\t\t\t2019;\n\t\t\t\t\t11:\n\t\t\t\t\t1756287219875594.doi:10.1177\/1756287219875594"},{"key":"i1945-5763-28-4-12-b34","series-title":"Self-Management of Urinary Symptoms Using a Probiotic in People With Spinal Cord Injuries, Spina Bifida, and Multiple Sclerosis","doi-asserted-by":"publisher","DOI":"10.25302\/12.2020.AD.131008215","year":"2020","unstructured":"Groah\n S,\n \n \n Ljungberg\n I,\n \n \n Tractenberg\n R,\n \n \n Rounds\n A.\n \n \n \n Self-Management of Urinary Symptoms Using a Probiotic in People With Spinal Cord Injuries, Spina Bifida, and Multiple Sclerosis\n .\n\t\t\t\t\tPatient-Centered Outcomes Research Institute (PCORI);\n\t\t\t\t\t2020.\n\t\t\t\t\tdoi:10.25302\/12.2020.AD.131008215"},{"issue":"3","key":"i1945-5763-28-4-12-b35","series-title":"PM R","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1002\/pmrj.12479","article-title":"Clinical profiles and symptom burden estimates to support decision-making using the 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Erlbaum Associates;\n\t\t\t\t\t1988."},{"issue":"5","key":"i1945-5763-28-4-12-b37","series-title":"Eur Urol","first-page":"576","article-title":"EAU guidelines for the management of urinary and male genital tract infections. Urinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU)","volume":"40","year":"2001","unstructured":"Naber\n KG,\n \n \n Bergman\n B,\n \n \n Bishop\n MC,\n \n .,\n\t\t\t\t\t\tUrinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU).\n EAU guidelines for the management of urinary and male genital tract infections. Urinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU).\n\t\t\t\t\tEur Urol.\n\t\t\t\t\t2001;\n\t\t\t\t\t40(\n\t\t\t\t\t5):\n\t\t\t\t\t576\u2013\n\t\t\t\t\t588."},{"issue":"5","key":"i1945-5763-28-4-12-b38","series-title":"Clin Infect Dis","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1086\/650482","article-title":"Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America","volume":"50","year":"2010","unstructured":"Hooton\n TM,\n \n \n Bradley\n SF,\n \n \n Cardenas\n DD,\n \n \n .\n\t\t\t\t\tDiagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America.\n\t\t\t\t\tClin Infect Dis.\n\t\t\t\t\t2010;\n\t\t\t\t\t50(\n\t\t\t\t\t5):\n\t\t\t\t\t625\u2013\n\t\t\t\t\t663.\n\t\t\t\t\tdoi:10.1086\/650482"},{"issue":"3","key":"i1945-5763-28-4-12-b39","series-title":"J Am Paraplegia Soc.","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1080\/01952307.1992.11735873","article-title":"The prevention and management of urinary tract infections among people with spinal cord injuries","volume":"15","year":"1992","unstructured":"The prevention and management of urinary tract infections among people with spinal cord injuries.\n\t\t\t\t\tJ Am Paraplegia Soc.1992;\n\t\t\t\t\t15(\n\t\t\t\t\t3):\n\t\t\t\t\t194\u2013\n\t\t\t\t\t207.\n\t\t\t\t\tdoi:10.1080\/01952307.1992.11735873"},{"issue":"suppl 1","key":"i1945-5763-28-4-12-b40","series-title":"J Spinal Cord Med","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1080\/10790268.2019.1647928","article-title":"Conception and development of Urinary Tract Infection indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project","volume":"42","year":"2019","unstructured":"Craven\n BC,\n \n \n Alavinia\n SM,\n \n \n Gajewski\n JB,\n \n \n .\n\t\t\t\t\tConception and development of Urinary Tract Infection indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2019;\n\t\t\t\t\t42(\n\t\t\t\t\tsuppl 1):\n\t\t\t\t\t205\u2013\n\t\t\t\t\t214.\n\t\t\t\t\tdoi:10.1080\/10790268.2019.1647928"},{"issue":"1","key":"i1945-5763-28-4-12-b41","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1542\/peds.2013-0557","article-title":"Variation in definitions of urinary tract infections in spina bifida patients: A systematic review","volume":"132","year":"2013","unstructured":"Madden-Fuentes\n RJ,\n \n \n McNamara\n ER,\n \n \n Lloyd\n JC,\n \n \n .\n\t\t\t\t\tVariation in definitions of urinary tract infections in spina bifida patients: A systematic review.\n\t\t\t\t\tPediatrics.\n\t\t\t\t\t2013;\n\t\t\t\t\t132(\n\t\t\t\t\t1):\n\t\t\t\t\t132\u2013\n\t\t\t\t\t139.\n\t\t\t\t\tdoi:10.1542\/peds.2013-0557"},{"issue":"2","key":"i1945-5763-28-4-12-b42","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1097\/JU.0000000000000296","article-title":"Recurrent uncomplicated urinary tract infections in women: AUA\/CUA\/SUFU guideline","volume":"202","year":"2019","unstructured":"Anger\n J,\n \n \n Lee\n U,\n \n \n Ackerman\n AL,\n \n \n .\n\t\t\t\t\tRecurrent uncomplicated urinary tract infections in women: AUA\/CUA\/SUFU guideline.\n\t\t\t\t\tJ Urol.\n\t\t\t\t\t2019;\n\t\t\t\t\t202(\n\t\t\t\t\t2):\n\t\t\t\t\t282\u2013\n\t\t\t\t\t289.\n\t\t\t\t\tdoi:10.1097\/JU.0000000000000296"},{"key":"i1945-5763-28-4-12-b43","series-title":"Medical student curriculum: Adult UTI.","unstructured":"Medical student curriculum: Adult UTI.\n \n American Urological Association. 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Accessed April 9, 2021."},{"key":"i1945-5763-28-4-12-b45","series-title":"Spinal Cord Medicine","doi-asserted-by":"publisher","DOI":"10.1891\/9780826137753.0022","article-title":"Urologic management and renal disease in spinal cord injury","year":"2018","unstructured":"Linsenmeyer\n TA.\n \n \n Urologic management and renal disease in spinal cord injury.\n\t\t\t\t\tIn:KirshblumS,LinVW,eds.Spinal Cord Medicine.\n\t\t\t\t\t3rd ed.\n\t\t\t\t\tSpringer Publishing Company;\n\t\t\t\t\t2018.\n\t\t\t\t\tdoi:10.1891\/9780826137753.0022"},{"key":"i1945-5763-28-4-12-b46","article-title":"Urinary symptoms among people with neurogenic lower urinary tract dysfunction (NLUTD) vary by bladder management","unstructured":"Tractenberg\n RE,\n \n \n Groah\n SL,\n \n \n Frost\n J,\n \n \n Yumoto\n F,\n \n \n Rounds\n AK,\n \n \n Ljungberg\n IH.\n \n \n Urinary symptoms among people with neurogenic lower urinary tract dysfunction (NLUTD) vary by bladder management.\n\t\t\t\t\tSubmitted for publication."},{"key":"i1945-5763-28-4-12-b47","series-title":"Cross-over Trials in Clinical Research","year":"2002","unstructured":"Senn\n S.\n \n \n \n Cross-over Trials in Clinical Research\n .\n\t\t\t\t\t2nd ed.\n\t\t\t\t\tWiley;\n\t\t\t\t\t2002."},{"issue":"12","key":"i1945-5763-28-4-12-b1","series-title":"Nat Rev Urol","doi-asserted-by":"publisher","first-page":"750","DOI":"10.1038\/s41585-018-0106-x","article-title":"Nonantibiotic prevention and management of recurrent urinary tract infection","volume":"15","year":"2018","unstructured":"Sihra\n N,\n \n \n Goodman\n A,\n \n \n Zakri\n R,\n \n \n Sahai\n A,\n \n \n Malde\n S.\n \n \n Nonantibiotic prevention and management of recurrent urinary tract infection.\n\t\t\t\t\tNat Rev Urol.\n\t\t\t\t\t2018;\n\t\t\t\t\t15(\n\t\t\t\t\t12):\n\t\t\t\t\t750\u2013\n\t\t\t\t\t776.\n\t\t\t\t\tdoi:10.1038\/s41585-018-0106-x"},{"key":"i1945-5763-28-4-12-b2","series-title":"Ther Adv Urol","doi-asserted-by":"publisher","DOI":"10.1177\/1756287219832172","article-title":"An introduction to the epidemiology and burden of urinary tract infections","volume":"11","year":"2019","unstructured":"Medina\n M,\n \n \n Castillo-Pino\n E.\n \n \n An introduction to the epidemiology and burden of urinary tract infections.\n\t\t\t\t\tTher Adv Urol.\n\t\t\t\t\t2019;\n\t\t\t\t\t11:\n\t\t\t\t\t1756287219832172. doi:10.1177\/1756287219832172"},{"issue":"5","key":"i1945-5763-28-4-12-b3","series-title":"J Rehabil. 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Med.\n\t\t\t\t\t2007;\n\t\t\t\t\t39(\n\t\t\t\t\t5):\n\t\t\t\t\t393\u2013\n\t\t\t\t\t398.\n\t\t\t\t\tdoi:10.2340\/16501977-0067"},{"issue":"4","key":"i1945-5763-28-4-12-b4","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"S87","DOI":"10.1016\/j.apmr.2012.10.037","article-title":"Rehospitalization in the first year of traumatic spinal cord injury after discharge from medical rehabilitation","volume":"94","year":"2013","unstructured":"DeJong\n G,\n \n \n Tian\n W,\n \n \n Hsieh\n CH,\n \n \n .\n\t\t\t\t\tRehospitalization in the first year of traumatic spinal cord injury after discharge from medical rehabilitation.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2013;\n\t\t\t\t\t94(\n\t\t\t\t\t4):\n\t\t\t\t\tS87\u2013\n\t\t\t\t\tS97.\n\t\t\t\t\tdoi:10.1016\/j.apmr.2012.10.037"},{"issue":"4","key":"i1945-5763-28-4-12-b5","series-title":"Top Spinal Cord Inj 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Rehabil.\n\t\t\t\t\t2019;\n\t\t\t\t\t100(\n\t\t\t\t\t9):\n\t\t\t\t\t1614\u2013\n\t\t\t\t\t1621.\n\t\t\t\t\tdoi:10.1016\/j.apmr.2019.02.013"},{"issue":"11","key":"i1945-5763-28-4-12-b8","series-title":"Arch Phys Med Rehabil","first-page":"1757","article-title":"Etiology and incidence of rehospitalization after traumatic spinal cord injury: A multicenter analysis","volume":"85","year":"2004","unstructured":"Cardenas\n DD,\n \n \n Hoffman\n JM,\n \n \n Kirshblum\n S,\n \n \n McKinley\n W.\n \n \n Etiology and incidence of rehospitalization after traumatic spinal cord injury: A multicenter analysis.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2004;\n\t\t\t\t\t85(\n\t\t\t\t\t11):\n\t\t\t\t\t1757\u2013\n\t\t\t\t\t1763."},{"key":"i1945-5763-28-4-12-b9","article-title":"Spinal Cord Injury Facts and Figures at a Glance: 2018","unstructured":"National Spinal Cord Injury Statistical Center.\n \n Spinal Cord Injury Facts and Figures at a Glance: 2018. 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Rehabil.\n\t\t\t\t\t2000;\n\t\t\t\t\t81(\n\t\t\t\t\t6):\n\t\t\t\t\t764\u2013\n\t\t\t\t\t769.\n\t\t\t\t\tdoi:10.1016\/s0003-9993(00)90108-4"},{"issue":"9","key":"i1945-5763-28-4-12-b15","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1038\/sc.2015.234","article-title":"Blood stream infections due to multidrug-resistant organisms among spinal cord-injured patients, epidemiology over 16 years and associated risks: A comparative study","volume":"54","year":"2016","unstructured":"Dinh\n A,\n \n \n Saliba\n M,\n \n \n Saadeh\n D,\n \n \n .\n\t\t\t\t\tBlood stream infections due to multidrug-resistant organisms among spinal cord-injured patients, epidemiology over 16 years and associated risks: A comparative study.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2016;\n\t\t\t\t\t54(\n\t\t\t\t\t9):\n\t\t\t\t\t720\u2013\n\t\t\t\t\t725.\n\t\t\t\t\tdoi:10.1038\/sc.2015.234"},{"key":"i1945-5763-28-4-12-b16","series-title":"Antibiotic resistance threats in the United 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Infect.\n\t\t\t\t\t2014;\n\t\t\t\t\t47(\n\t\t\t\t\t5):\n\t\t\t\t\t399\u2013\n\t\t\t\t\t405.\n\t\t\t\t\tdoi:10.1016\/j.jmii.2013.05.006"},{"issue":"1","key":"i1945-5763-28-4-12-b18","series-title":"Clin Infect Dis","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1086\/420816","article-title":"Antibiotic therapy for Klebsiella pneumoniae bacteremia: Implications of production of extended-spectrum beta-lactamases","volume":"39","year":"2004","unstructured":"Paterson\n DL,\n \n \n Ko\n WC,\n \n \n Von Gottberg\n A,\n \n \n .\n\t\t\t\t\tAntibiotic therapy for Klebsiella pneumoniae bacteremia: Implications of production of extended-spectrum beta-lactamases.\n\t\t\t\t\tClin Infect Dis.\n\t\t\t\t\t2004;\n\t\t\t\t\t39(\n\t\t\t\t\t1):\n\t\t\t\t\t31\u2013\n\t\t\t\t\t37.\n\t\t\t\t\tdoi:10.1086\/420816"},{"issue":"8","key":"i1945-5763-28-4-12-b19","series-title":"Clin Infect Dis","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1086\/319757","article-title":"Extended-spectrum 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KN,\n \n \n Dannels-McClure\n A,\n \n \n .\n\t\t\t\t\tIntermittent catheterization with a hydrophilic-coated catheter delays urinary tract infections in acute spinal cord injury: A prospective, randomized, multicenter trial.\n\t\t\t\t\tPM R.\n\t\t\t\t\t2011;\n\t\t\t\t\t3(\n\t\t\t\t\t5):\n\t\t\t\t\t408\u2013\n\t\t\t\t\t417.\n\t\t\t\t\tdoi:10.1016\/j.pmrj.2011.01.001"},{"issue":"4","key":"i1945-5763-28-4-12-b21","series-title":"J Hosp Med","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1002\/jhm.2157","article-title":"Impact of extended-spectrum \u03b2-lactamase-producing organisms on clinical and economic outcomes in patients with urinary tract infection","volume":"9","year":"2014","unstructured":"MacVane\n SH,\n \n \n Tuttle\n LO,\n \n \n Nicolau\n DP.\n \n \n Impact of extended-spectrum \u03b2-lactamase-producing organisms on clinical and economic outcomes in patients with urinary tract infection.\n\t\t\t\t\tJ Hosp Med.\n\t\t\t\t\t2014;\n\t\t\t\t\t9(\n\t\t\t\t\t4):\n\t\t\t\t\t232\u2013\n\t\t\t\t\t238.\n\t\t\t\t\tdoi:10.1002\/jhm.2157"},{"key":"i1945-5763-28-4-12-b22","series-title":"J Pediatr Infect Dis Soc","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jpids\/piw056","article-title":"Frequency of multi-drug resistant organisms cultured from urine in children on clean intermittent catheterization [online publication]","year":"2016","unstructured":"Forster\n CS,\n \n \n Courter\n J,\n \n \n Jackson\n E,\n \n \n Mortensen\n J,\n \n \n Haslam\n D.\n \n \n Frequency of multi-drug resistant organisms cultured from urine in children on clean intermittent catheterization [online publication].\n\t\t\t\t\tJ Pediatr Infect Dis Soc.\n\t\t\t\t\t2016:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t7.\n\t\t\t\t\tdoi:10.1093\/jpids\/piw056"},{"issue":"1","key":"i1945-5763-28-4-12-b23","series-title":"J Transl 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EE,\n \n \n .\n\t\t\t\t\tThe clinical urine culture: Enhanced techniques improve detection of clinically relevant microorganisms.\n\t\t\t\t\tJ Clin Microbiol.\n\t\t\t\t\t2016;\n\t\t\t\t\t54(\n\t\t\t\t\t5):\n\t\t\t\t\t1216\u2013\n\t\t\t\t\t1222.\n\t\t\t\t\tdoi:10.1128\/JCM.00044-16"},{"key":"i1945-5763-28-4-12-b28","series-title":"Ann Transl Med","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21037\/atm.2016.11.62","article-title":"The female urinary microbiota, urinary health and common urinary disorders","volume":"5","year":"2017","unstructured":"Brubaker\n L,\n \n \n Wolfe\n AJ.\n \n \n The female urinary microbiota, urinary health and common urinary disorders.\n\t\t\t\t\tAnn Transl Med.\n\t\t\t\t\t2017;\n\t\t\t\t\t5:\n\t\t\t\t\t34\u2013\n\t\t\t\t\t34.\n\t\t\t\t\tdoi:10.21037\/atm.2016.11.62"},{"issue":"1","key":"i1945-5763-28-4-12-b29","series-title":"Neurourol Urodyn","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1002\/nau.22378","article-title":"Factors 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trial.\n\t\t\t\t\tTher Adv Urol.\n\t\t\t\t\t2019;\n\t\t\t\t\t11:\n\t\t\t\t\t1756287219875594.doi:10.1177\/1756287219875594"},{"key":"i1945-5763-28-4-12-b34","series-title":"Self-Management of Urinary Symptoms Using a Probiotic in People With Spinal Cord Injuries, Spina Bifida, and Multiple Sclerosis","doi-asserted-by":"publisher","DOI":"10.25302\/12.2020.AD.131008215","year":"2020","unstructured":"Groah\n S,\n \n \n Ljungberg\n I,\n \n \n Tractenberg\n R,\n \n \n Rounds\n A.\n \n \n \n Self-Management of Urinary Symptoms Using a Probiotic in People With Spinal Cord Injuries, Spina Bifida, and Multiple Sclerosis\n .\n\t\t\t\t\tPatient-Centered Outcomes Research Institute (PCORI);\n\t\t\t\t\t2020.\n\t\t\t\t\tdoi:10.25302\/12.2020.AD.131008215"},{"issue":"3","key":"i1945-5763-28-4-12-b35","series-title":"PM R","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1002\/pmrj.12479","article-title":"Clinical profiles and symptom burden estimates to support decision-making using the 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Erlbaum Associates;\n\t\t\t\t\t1988."},{"issue":"5","key":"i1945-5763-28-4-12-b37","series-title":"Eur Urol","first-page":"576","article-title":"EAU guidelines for the management of urinary and male genital tract infections. Urinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU)","volume":"40","year":"2001","unstructured":"Naber\n KG,\n \n \n Bergman\n B,\n \n \n Bishop\n MC,\n \n .,\n\t\t\t\t\t\tUrinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU).\n EAU guidelines for the management of urinary and male genital tract infections. 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Published May 2012. Accessed April 9, 2021. https:\/\/www.auanet.org\/education\/auauniversity\/for-medical-students\/medical-students-curriculum\/medical-student-curriculum\/adult-uti"},{"key":"i1945-5763-28-4-12-b44","series-title":"Complicated Urinary Tract Infections","year":"2021","unstructured":"Sabih\n A,\n \n \n Leslie\n SW.\n \n \n \n Complicated Urinary Tract Infections\n .\n\t\t\t\t\tStatPearls Publishing;\n\t\t\t\t\t2021.\n\t\t\t\t\thttps:\/\/www.ncbi.nlm.nih.gov\/books\/NBK436013\/. Accessed April 9, 2021."},{"key":"i1945-5763-28-4-12-b45","series-title":"Spinal Cord Medicine","doi-asserted-by":"publisher","DOI":"10.1891\/9780826137753.0022","article-title":"Urologic management and renal disease in spinal cord injury","year":"2018","unstructured":"Linsenmeyer\n TA.\n \n \n Urologic management and renal disease in spinal cord injury.\n\t\t\t\t\tIn:KirshblumS,LinVW,eds.Spinal Cord Medicine.\n\t\t\t\t\t3rd ed.\n\t\t\t\t\tSpringer Publishing Company;\n\t\t\t\t\t2018.\n\t\t\t\t\tdoi:10.1891\/9780826137753.0022"},{"key":"i1945-5763-28-4-12-b46","article-title":"Urinary symptoms among people with neurogenic lower urinary tract dysfunction (NLUTD) vary by bladder management","unstructured":"Tractenberg\n RE,\n \n \n Groah\n SL,\n \n \n Frost\n J,\n \n \n Yumoto\n F,\n \n \n Rounds\n AK,\n \n \n Ljungberg\n IH.\n \n \n Urinary symptoms among people with neurogenic lower urinary tract dysfunction (NLUTD) vary by bladder management.\n\t\t\t\t\tSubmitted for publication."},{"key":"i1945-5763-28-4-12-b47","series-title":"Cross-over Trials in Clinical Research","year":"2002","unstructured":"Senn\n S.\n \n \n \n Cross-over Trials in Clinical Research\n .\n\t\t\t\t\t2nd ed.\n\t\t\t\t\tWiley;\n\t\t\t\t\t2002."}],"container-title":["Topics in Spinal Cord Injury Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/tscir.kglmeridian.com\/view\/journals\/tscr\/28\/4\/article-p12.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/tscir\/article-pdf\/28\/4\/12\/3147013\/i1945-5763-28-4-12.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/tscir.kglmeridian.com\/downloadpdf\/journals\/tscr\/28\/4\/article-p12.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/tscir.kglmeridian.com\/downloadpdf\/journals\/tscr\/28\/4\/article-p12.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T15:50:53Z","timestamp":1775145053000},"score":1,"resource":{"primary":{"URL":"https:\/\/tscir.kglmeridian.com\/view\/journals\/tscr\/28\/4\/article-p12.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":94,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.46292\/sci22-00005","relation":{},"ISSN":["1082-0744","1945-5763"],"issn-type":[{"value":"1082-0744","type":"print"},{"value":"1945-5763","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}