New Onset of Recurrent Urinary Tract Infection (in a Low-Risk Patient) after a Routine Colonoscopy with Polypectomy: A Case Study

Abstract

Abstract

Urinary tract infections (UTIs) are among the most frequent nosocomial infections (Regenbogen et al., 2011). These iatrogenic infections are an important cause of morbidity, mortality, and increased healthcare costs (Iacovelli et al., 2014). Although colonoscopies are an important screening and diagnostic tool for colorectal cancers and other aberrations of the gastrointestinal tract (Deb et al., 2022), they sometimes cause infections. This pseudo-case study is based on true-life events and explores the development of recurrent UTIs in a 77-year-old postmenopausal female following a routine colonoscopy, highlighting the potential role of translocated endogenous E. coli. The case aims to identify risk factors and propose strategies to mitigate complications associated with colonoscopies. This case sheds light on a much overlooked and unexplored topic and sensitizes clinicians to the existence of this problem. Risk-identification strategies are postulated as potential interventions to decrease the risk and morbidity associated with colonoscopies and endoscopies. The role of the Advanced Practice Registered Nurse (APRN) is also explored.