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    JR Nosocomial Geriatri

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    cyntia
    This research article examines risk factors for nosocomial infections in geriatric patients and strategies for prevention. The study analyzed 3,370 elderly patients hospitalized for over 48 hours and found an infection rate of 3.3%. Factors like prolonged bed rest, malnutrition, invasive procedures, and dysphagia increased infection risk. Implementing nutritional supplementation reduced the infection rate to 1.15%. The study concludes that controlling malnutrition and improving nutrition status can help prevent nosocomial infections in geriatric patients.

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    JR Nosocomial Geriatri

    Uploaded by

    cyntia
    25 views17 pages
    This research article examines risk factors for nosocomial infections in geriatric patients and strategies for prevention. The study analyzed 3,370 elderly patients hospitalized for over 48 hours and found an infection rate of 3.3%. Factors like prolonged bed rest, malnutrition, invasive procedures, and dysphagia increased infection risk. Implementing nutritional supplementation reduced the infection rate to 1.15%. The study concludes that controlling malnutrition and improving nutrition status can help prevent nosocomial infections in geriatric patients.

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    This research article examines risk factors for nosocomial infections in geriatric patients and strategies for prevention. The study analyzed 3,370 elderly patients hospitalized for over 48 hours and found an infection rate of 3.3%. Factors like prolonged bed rest, malnutrition, invasive procedures, and dysphagia increased infection risk. Implementing nutritional supplementation reduced the infection rate to 1.15%. The study concludes that controlling malnutrition and improving nutrition status can help prevent nosocomial infections in geriatric patients.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    25 views17 pages

    JR Nosocomial Geriatri

    Uploaded by

    cyntia
    This research article examines risk factors for nosocomial infections in geriatric patients and strategies for prevention. The study analyzed 3,370 elderly patients hospitalized for over 48 hours and found an infection rate of 3.3%. Factors like prolonged bed rest, malnutrition, invasive procedures, and dysphagia increased infection risk. Implementing nutritional supplementation reduced the infection rate to 1.15%. The study concludes that controlling malnutrition and improving nutrition status can help prevent nosocomial infections in geriatric patients.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 17

    Research Article

    Risk Factors and Prevention


    Strategies of Nosocomial
    Infection in Geriatric Patients

    Yajie Li , Liqun Ren, and Jihong Zou


    Hindawi
    Canadian Journal of Infectious Diseases and Medical
    Microbiology
    Introduction

     The aim of this study is to determine the


    risk factors leading to nosocomial infection
    development and discuss the effectiveness
    of nutrition status improvement in
    prevention of nosocomial infection for
    elderly patients.
    Methodology

    Data were collected from Geriatrics


    Department Zhongda Hospital Southeast
    University of China , between January 2015
    to December 2017
    Methodology

    Study Design.
    A retrospective analysis was conducted.
    Age of the patient, sex, length of hospital
    stay, whether the patient was in bed for a
    long time, whether the patient combined
    with chronic diseases, hypoproteinaemia,
    dysphagia, invasive procedure, etc., were
    analyzed in detail.
    Methodology

    patients were scored according to weight,


    albumin level, and disease status using NRS
    (Nutritional Risk Scoring) 2002

    If the score is ≥3, daily diet calculation


    formula (energy 25 kCal/kg·d) + enteral
    nutrition suspension (TPF-FOS)
    Methodology

     Statistical Package for the Social Sciences


    version10.0 (SPSS) was used for
    statistical evaluation: T-test, chi-square
    tests for univariate, and logistic regression
    analysis for multivariate were calculated
    for descriptive statistics. A p value < 0.05
    was considered statistically significant.
    Results

    In this study, 3370 patients (age larger than


    65 years old) were hospitalized > 48 hours in
    the Geriatric Department.
    Nosocomial infection were detected in 80
    patients among 2413 patients; the infection
    rate was 3.3%.
    Results
    Results
    58 strains of pathogens were isolated
     36 (62.07%) were Gram-negative
    bacteria, Pseudomonas aeruginosa, E. coli,
    and Proteus mirabilis were dominant
     8 (13.79%) were Gram-positive bacteria,
    Staphylococcus was the predominant
    species
     14 (24.14%) were fungi; Candida albicans
    and Candida glabrata were dominant
    among the fungi.
    Results

     After providing enteral nutritional


    suspension infection rate was reduced to
    1.15%.

     Univariate analysis results showed that


    long-term bed, malnutrition, invasive
    procedures, dysphagia, and length of stay
    are all possible factors in developing
    nosocomial infection.
    Discussion

     In this study the rate of nosocomial


    infection is 3.3%, and the hospitalized
    duration per patient is 11 days.

     mortality rate is 5% while during the same


    period, for elderly patients without NIs,
    the mortality rate is 2.27%.
    Discussion
     Incidence of pneumonia in our study
    (63.15%) is a little too high compared to
    other developing or developed countries
    (43-45%) this may have some relation
    with the nowadays bad air condition in
    China.
     Since UTI is usually the result of placing
    and removing indwelling urinary
    catheters; more attention should be paid
    continuously.
    Discussion

     poor nutrition of elderly patients should be


    controlled.
     procedures such as assessing the
    nutritional status of the patient and
    strengthening gastrointestinal nutrition,
    are perhaps the most effective methods at
    present.
    Conclusion

     Considering the high risks, infection


    control efforts for pneumonia and UTI
    should continue to be an important
    program priority.
     For the infected patients, pathogens
    include Gram-positive bacteria, Gram-
    negative bacteria, and fungi. The empirical
    treatment decisions in geriatric
    department can be based on those
    pathogens.
    Conclusion

     long-term bedridden , malnutrition,


    invasive procedures, dysphagia, and
    length of stay are all independent risk
    factors for NIs in elderly patients
     improvement of nutrition status is
    important and perhaps one of the few
    feasible strategies that can be taken in
    infection control and has been proved to
    be effective in this paper.
    Thank You

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