الفهرس 
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Abstract
This is the first study evaluating the prevalence of post stroke UTI in first ever stroke patients in sohag university. We think, our study group reflects the population of upper Egypt because of the variability of the patients attending to our hospital from the various parts of upper Egypt.
The study included 100 patients diagnosed with first ever ischaemic stroke admitted to neurology department, Sohag university hospital and we exclude other stroke subtypes as haemorrhagic and recurrent strokes for standardization .
we found that the prevalence of post stroke urinary tract infection was very high and commonly among all patients. The incidence of post stroke UTIs were significantly associated with poor outcome of stroke patients and direct impact on MRS that identify post stroke outcome and patient disability.
We concluded that clinicians should be aware of the risk of UTI among stroke patients and how it affects the conscious level of the patient .
Finaly we should find effective manaeuvers to prevent the incidence of UTI .
There are a number of possible strategies to prevent UTI post-stroke that are worthy of future study. Avoidance of unnecessary catheterization is likely to be the single most effective strategy in preventing UTI.
If a urinary catheter is used it may be possible to reduce the risk of associated infection by early removal, attention to detail in catheter-care or by use of modified catheters coated with antimicrobials.
A programmed reminder to nurses by physicians to remove unnecessary catheters in UTI has been shown to reduce duration of catheterization and associated infections.
Use of modified catheters such as nitrofurazone-coated silicone or silver-coated latex may reduce the risk of infection with short-term catheterization. High standards of catheter care including insertion in an aseptic fashion, correct positioning of the drainage tubing and collection bag and maintaining a closed system may all help to reduce the risks of clinically significant infection.
There is evidence that in-hospital care pathways might reduce the incidence of UTI, however, the components of care that achieve this effect are not clear. Further research is also warranted on the potential longerterm benefits of prevention of UTI on stroke outcome, including urinary continence and disability.
Recommedations
-We recommend that the incidence of post stroke UTI must be investigated with larger studies.
-We recommend that further understanding of the relationship between incidence of post stroke UTI and severity of stroke disabilities later on(follow up further investigation).
-We recommend that another study to determine the incidence of coexisting infection among stroke patients as (pneumonia and other bacteraemia).
-We recommend other studies using effective procedures and recent manaeuvers as(silver coated catheter)for potent prophylaxis to prevent post stroke incidence.