The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Risk factors of hospital infection secondary to orthopaedic surgeries in the elderly

Author : LIU Wen-qing, LI Yan, LI Yan.     
Working unit : The 88th Hospital of PLA, Taian 271000, China
Page : 2250-2253
Key words : orthopedics, hospital infection, risk factors, elderly
Abstract: [Objective] To explore the risk factors of hospital infection secondary to orthopaedic surgeries in the elderly, and to provide evidence for prevention of nosocomial infection. [Methods] A survey was conducted on 1336 elderly patientswho underwent orthopedic surgery in our hospital from January 2016 to August 2018. The patients, including 534 males and 802 females aged from 60 to 98 years with an average of (68.86±7.58) years, were retrospectively investigated to search risk factors related to nosocomial infection. [Results] Of them, 42 patients were definitively diagnosed of hospital infection, with the infection rate of 3.14%. In term of the infection sites, urinary system infection, accounted for 45.45%, took the highest proportion, followed by lower respiratory tract infection accounted for 31.82%, and the surgical site infection accounted for 18.18%. The multivariate logistic regression showed that invasive operation (OR=3.460, 95% CI: 1.512~7.919) and stay in the ICU (OR= 3.488, 95%CI: 1.628~7.473) and long hospital stay (OR=5.741, 95% CI: 1.351~24.389) were the risk factors of hospital infection secondary to orthopedic surgeries in the elderly. [Conclusion] The elderly patients are susceptible to nosocomial infection due to multiple factors. Effective preventive measures should be taken for these risk factors to reduce the incidence of nosocomial infections.
summary:
Risk factors of hospital infection secondary to orthopaedic surgeries in the elderly   
LIU Wen-qing, LI Yan, LI Yan.
Orthop J Chin,2018,26(24):   2250-2253