Nosocomial Infections Decade-Specific Risk
Infection ControlPublished 1 January 1983
Peter Groß, Christopher J. Rapuano, Anthony Adrignolo, Barbara Ramsay Shaw
Citations60
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
While the elderly comprise a small fraction of hospitalized patients, they account for the majority of nosocomial infections, which peaked at greater than 100 per 1,000 discharges after 70 years.
Abstract
Although the elderly are thought to be at increased risk for acquiring nosocomial infections (NIs), the degree of risk has not been carefully quantified. We determined the decade-specific risks of NIs. The rate was constant at approximately 10 per 1,000 discharged patients from birth to 40 to 49 years. Thereafter the rate rose logarithmically and peaked at greater than 100 per 1,000 discharges after 70 years. Of all NIs, 64% occurred after 60 years of age. Yet, this elderly group made up only 23% of hospitalized patients. In conclusion, while the elderly comprise a small fraction of hospitalized patients, they account for the majority of nosocomial infections.
Keywords
MedicineHealth Professions
The American Journal of MedicineRisk factors for postoperative pneumonia
481 Citations1981Richard A. Garibaldi, Michael R. Britt +3 more
The acquisition of pneumonia by a low-risk patient should alert the physician to the possibility of a potentially preventable nosocomial infection.
The American Journal of MedicineDeaths from nosocomial infections: Experience in a university hospital and a community hospital
298 Citations1980Peter Groß, Harold C. Neu +3 more
There is need to devise a pneumonia prevention program that identifies those at high risk and reduces the chance of aspiration of pharyngeal secretions and spread of virulent bacteria from person to person.
Clinical Infectious DiseasesThe Effect of Aging on Susceptibility to Infection
286 Citations1980Ian Gardner
There appears to be a network of factors in the aging body, including degenerative changes and the declining immune response, that interact with and compound each other to markedly increase susceptibility to infection.
Annals of SurgeryPostoperative Wound Infection
244 Citations1977John W. Green, Richard P. Wenzel
The increased hospital stay and direct cost of hospitalization that resulted from a postoperative wound infection (presence of pus at the incision site) after each of 6 common operations were evaluated.
The American Journal of MedicinePrevention of catheter-associated urinary tract infections
243 Citations1981John P. Burke, Richard A. Garibaldi +4 more
Current methods of meatal care appear to be hazardous, as well as expensive, and cannot be recommended as measures to control infection.
The American Journal of MedicineNosocomial infection of the urinary tract
158 Citations1981Marvin Turck, Walter E. Stamm
Urinary tract infections appear to be responsible for 35 percent of all hospital-acquired infections, occurring in approximately two patients per 100 admissions, and the great majority of infections are associated with urinary tract instrumentation.
The Journal of Infectious DiseasesRisk Factors for Nosocomial Infection
138 Citations1978J. Freeman, J. E. McGowan
Certain underlying diseases, procedures, hospital services, and categories of age, sex, race, and urgency of admission were all found to be significant risk factors for nosocomial infection.
The American Journal of MedicineThe joint associations of multiple risk factors with the occurrence of nosocomial infection
109 Citations1981Thomas M. Hooton, Robert W. Haley +4 more
A multivariate categorical data analysis technique was used to study the infection experience of 169,518 patients admitted in 1970 to the 338 hospitals studied in the Study on the Efficacy of Nosocomial Infection Control (SENIC, Project).
The American Journal of MedicineEndemic rate of fluid contamination and related septicemia in arterial pressure monitoring
79 Citations1981Dennis G. Maki, Carol A. Hassemer
With prolonged monitoring, transducer chamber-domes and continuous flow devices should be replaced at periodic intervals, ideally with the administration set, every 48 hours; since implementing this policy, only three contaminated intra-arterial infusions and no related septicemias have been detected in 53 intra-arters monitored over the authors' months.
The American Journal of MedicineUse of prophylactic antibiotics in surgical practice
75 Citations1981Ronald Lee Nichols
In order to appropriately administer prophylactic antibiotics in the various clinical settings on the surgical service, one must be aware of the following nuances including choice of the antibiotic agent based on the type of organisms usually causing infection, route of its administration, and the timing of administration which offers the maximum benefits without risking the adverse effects.