Purple urinary bag syndrome: a harmless but alarming problem

Abstract

Patients who are not catheterized may notice a discolouration in their urine or faeces, either occasionally or continually. Such discolouration can usually be put down to waste materials caused by medication or food. However, a comment often made by nurses who see catheterized patients is, 'My patient's drainage bag has turned purple'. Patients with this condition can show no underlying urine infection. It is also noticeable that the longer the drainage bag is used, the deeper the colour purple becomes. Over a period of time this discolouration then impregnates their catheter. This condition also produces a strong odour, and as air temperature increases, so does the smell. This condition is known as purple urinary bag syndrome or PUBS.