Risk factors of health care–associated infection in elderly patients: a retrospective cohort study performed at a tertiary hospital in China

• DOI: 10.1186/s12877-019-1208-x
• Publication Date: 2019-07-19T13:03:00Z
• Authors: Xia Zhao; Lihong Wang; Nan Wei; Jingli Zhang; Wenhui Ma; Huijie Zhao; Xu Han
• Keywords: Retrospective cohort study; Male; China; Health-care associated infection; Cohort Studies; Tertiary Care Centers; 03 medical and health sciences; Elderly; 0302 clinical medicine; Risk Factors; Humans; Aged; Retrospective Studies; Aged, 80 and over; Cross Infection; Body Weight; RC952-954.6; Age Factors; Middle Aged; 3. Good health; Hospitalization; Intensive Care Units; Risk factors; Geriatrics; Catheter-Related Infections; Urinary Tract Infections; Female; Research Article

The elderly inpatients are in high risk of suffering health-care associated infection (HAI). study aimed to analyze the factors (HAI) hospitalized patients prevent it and improve recovery rate patients. was a Retrospective Cohort Study based on 3-year surveillance large tertiary hospital China. A retrospective review ≥60 years with or without HAI were conducted. Binary multivariable logistic regression used evaluate potential association between factors. We investigated total 60,332 subjects aged 60 old above. incidence 2.62%. With adjustment for some factors, advanced age, days before HAI, intensive care unit (ICU) admission, use ventilator, central line catheter urinary cerebral hemorrhage, infarction, brain neoplasms, diabetes mellitus, coronary artery disease, malignant tumor hematonosis had significantly increased odds ratios (OR) from compared control group but body weight operation decreased OR. Our findings suggested that accompanied by neurological chronic noncommunicable diseases, ICU devices protective this sample.