Purple urine bag syndrome in palliative care.

Abstract:

:Purple urine bag syndrome (PUBS) is a rare condition characterised by urine discolouration. The management of PUBS remains controversial. Four females (mean age 84.5±9.7 years) with palliative conditions (two cancer and two non-cancer cases) presenting PUBS were identified. Urine bags were changed in all cases. Urinary catheters were changed in three cases. Oral antibiotics were prescribed in two cases and used in one case. Urine discolouration was resolved in all cases. One patient (without antibiotic treatment) died on day 5 after presentation of PUBS. Three patients (one out of three cases used oral antibiotics) were clinically stable after the management of PUBS. There was no recurrence of PUBS. Caring for patients with PUBS should be based on clinical decisions, patient status and the goals of care. Palliative care teams should focus on the prevention of PUBS by shortening the duration of catheterisation and minimising modifiable risk factors for this condition.

authors

Wattanapisit S,Wattanapisit A,Meepuakmak A,Rakkapan P

doi

10.1136/bmjspcare-2018-001601

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

155-157

issue

2

eissn

2045-435X

issn

2045-4368

pii

bmjspcare-2018-001601

journal_volume

9

pub_type

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