Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review

Chi-Hung Lin1, Hsien-Te Huang1, Chia-Chang Chien1, Dong-Sheng Tzeng1,2, For-Wey Lung1,3–51Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Graduate Institute of Occupational Safety and Health; 3Graduate Institute of Behavioral Sciences, Kaohsiung Medic...

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Autores principales:	Chi-Hung Lin, Hsien-Te Huang, Chia-Chang Chien, Dong-Sheng Tzeng, For-Wey Lung
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Purple urine bag syndrome indigo indirubin nursing home bacteriuria indoxyl sulphatase/phosphatase nosocomial catheter-associated UTIs Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ac2af5428ae64197922d225f099596e3
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spelling	oai:doaj.org-article:ac2af5428ae64197922d225f099596e32021-12-02T06:13:27ZPurple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review1178-1998https://doaj.org/article/ac2af5428ae64197922d225f099596e32008-12-01T00:00:00Zhttps://www.dovepress.com/purple-urine-bag-syndrome-in-nursing-homes-ten-elderly-case-reports-an-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chi-Hung Lin1, Hsien-Te Huang1, Chia-Chang Chien1, Dong-Sheng Tzeng1,2, For-Wey Lung1,3–51Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Graduate Institute of Occupational Safety and Health; 3Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan; 4Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan; 5Calo Psychiatric Center, Pingtung County, TaiwanAbstract: Purple urine bag syndrome (PUBS) is a rare occurrence, in which the patient has a purple-colored urine bag following urinary catheterization for hours to days. Most of authors believe it is a mixture of indigo (blue) and indirubin (red) that becomes purple. Previous study showed that PUBS occurred predominantly in chronically catheterized, constipated women. We collected 10 elderly patients with PUBS in two nursing homes. The first two cases were identified by chart review in 1987 and 2003, and then later eight cases (42.1%) were collected among 19 urinary catheterized elderly in the period between January 2007 and June 2007. In the present report, PUBS probably can occur in any patients with the right elements, namely urinary tract infection (UTI) with bacteria possessing these enzymes, diet with enough tryptophan, and being catheterized. Associations with bed-bound state, Alzheimer’s, or dementia from other causes are reflections of the state of such patients who are at higher risk for UTI, and hence PUBS occurred. Although we presented PUBS as a harmless problem, prevention and control of the nosocomial catheter-associated UTIs (CAUTIs) has become very important in the new patient-centered medical era. Thus, we should decrease the duration of catheterization, improve catheter care, and deploy technological advances designed for prevention, especially in the elderly cared for in nursing homes.Keyword: purple urine bag syndrome, indigo, indirubin, nursing home, bacteriuria, indoxyl sulphatase/phosphatase, nosocomial catheter-associated UTIsChi-Hung LinHsien-Te HuangChia-Chang ChienDong-Sheng TzengFor-Wey LungDove Medical PressarticlePurple urine bag syndromeindigoindirubinnursing homebacteriuriaindoxyl sulphatase/phosphatasenosocomial catheter-associated UTIsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 3, Pp 729-734 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Purple urine bag syndrome indigo indirubin nursing home bacteriuria indoxyl sulphatase/phosphatase nosocomial catheter-associated UTIs Geriatrics RC952-954.6
spellingShingle	Purple urine bag syndrome indigo indirubin nursing home bacteriuria indoxyl sulphatase/phosphatase nosocomial catheter-associated UTIs Geriatrics RC952-954.6 Chi-Hung Lin Hsien-Te Huang Chia-Chang Chien Dong-Sheng Tzeng For-Wey Lung Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
description	Chi-Hung Lin1, Hsien-Te Huang1, Chia-Chang Chien1, Dong-Sheng Tzeng1,2, For-Wey Lung1,3–51Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Graduate Institute of Occupational Safety and Health; 3Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan; 4Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan; 5Calo Psychiatric Center, Pingtung County, TaiwanAbstract: Purple urine bag syndrome (PUBS) is a rare occurrence, in which the patient has a purple-colored urine bag following urinary catheterization for hours to days. Most of authors believe it is a mixture of indigo (blue) and indirubin (red) that becomes purple. Previous study showed that PUBS occurred predominantly in chronically catheterized, constipated women. We collected 10 elderly patients with PUBS in two nursing homes. The first two cases were identified by chart review in 1987 and 2003, and then later eight cases (42.1%) were collected among 19 urinary catheterized elderly in the period between January 2007 and June 2007. In the present report, PUBS probably can occur in any patients with the right elements, namely urinary tract infection (UTI) with bacteria possessing these enzymes, diet with enough tryptophan, and being catheterized. Associations with bed-bound state, Alzheimer’s, or dementia from other causes are reflections of the state of such patients who are at higher risk for UTI, and hence PUBS occurred. Although we presented PUBS as a harmless problem, prevention and control of the nosocomial catheter-associated UTIs (CAUTIs) has become very important in the new patient-centered medical era. Thus, we should decrease the duration of catheterization, improve catheter care, and deploy technological advances designed for prevention, especially in the elderly cared for in nursing homes.Keyword: purple urine bag syndrome, indigo, indirubin, nursing home, bacteriuria, indoxyl sulphatase/phosphatase, nosocomial catheter-associated UTIs
format	article
author	Chi-Hung Lin Hsien-Te Huang Chia-Chang Chien Dong-Sheng Tzeng For-Wey Lung
author_facet	Chi-Hung Lin Hsien-Te Huang Chia-Chang Chien Dong-Sheng Tzeng For-Wey Lung
author_sort	Chi-Hung Lin
title	Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
title_short	Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
title_full	Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
title_fullStr	Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
title_full_unstemmed	Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
title_sort	purple urine bag syndrome in nursing homes: ten elderly case reports and a literature review
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/ac2af5428ae64197922d225f099596e3
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Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review

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