June 2023 - Volume 17, Issue 1

Purple Urine Bag Syndrome: the art of purplish mix of blue and red

Ebtisam Elghblawi

Correspondence:
Dr Ebtisam Elghblaw
iEmail: ebtisamya@yahoo.com

Received: April 2023; Accepted: May 2023; Published: June 2023
Citation: Ebtisam Elghblawi. Purple Urine Bag Syndrome: the art of purplish mix of blue and red Middle East Journal of Nursing 2023; 16(2): 54-58 DOI: 10.5742/MEJN2023.9378034

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ABSTRACT


Purple urine bag syndrome (PUBS) is an exceptional finding in the clinical setting and is featured by its distinctive purplish urine discolouration. It has been claimed to be due to many culprits, namely, long term indwelling catheterisation, dementia, and urinary tract infection with alkaline urine that is fully loaded with bacteria, bed or chair bound patients, female gender, constipation and chronic kidney disease (Sabanis et al, 2019). It is seen more in the geriatric words. It is said that it’s related to tryptophan aberrant metabolism by-products in red and blue pigments, due to bacterial colonization in urinary catheter. Its distinctive colour is due to indigo-producing (bluish) and indirubin- producing (reddish) pigments which react with the plastic tube, to yield the striking purplish colour (Van Keer et al, 2015, Kalsi et al, 2017).



 


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