Nosocomial Febrile Illness in the Elderly

作者: Christophe Trivalle , Philippe Chassagne , Marc Bouaniche , Isabelle Landrin , Isabelle Marie

DOI: 10.1001/ARCHINTE.158.14.1560

关键词: MedicineIncidence (epidemiology)Internal medicineConfidence intervalEtiologyFecal incontinenceMultivariate analysisOdds ratioIntensive care medicineProspective cohort studyRisk factor

摘要: tified. They were compared with the remaining 542 patients without NFI. In 49 (74%) NFI, cause was infectious; in 9 (13.5%), it noninfectious; and 8 (12.5%), there no apparent cause. After multivariate analysis, only fecal incontinence (odds ratio [OR], 5.54; 95% confidence interval [CI], 2.13-14.5), congestive heart failure (OR, 2.97; CI, 1.53-5.76), pressure ulcers 2.93; 1.19-7.17) independent risk factors for The number of invasive procedures preceding febrile episode a significant predictor infection 3.68; 1.14-9.21). Conclusions: Nosocomial illness is common event elderly hospitalized patients. 74% an found. Measures to decrease infectious NFI require reduction procedures. Arch Intern Med. 1998;158:1560-1565

参考文章(27)
Philip W. Smith, Nosocomial infections in the elderly. Infectious Disease Clinics of North America. ,vol. 3, pp. 763- 778 ,(1989) , 10.1016/S0891-5520(20)30307-X
Susan M. Saviteer, Greg P. Samsa, William A. Rutala, Nosocomial infections in the elderly. Increased risk per hospital day. The American Journal of Medicine. ,vol. 84, pp. 661- 666 ,(1988) , 10.1016/0002-9343(88)90101-5
Arnold Wald, Constipation and Fecal Incontinence in the Elderly Gastroenterology Clinics of North America. ,vol. 19, pp. 405- 418 ,(1990) , 10.1016/S0889-8553(21)00503-3
John E. McGowan, Richard C. Rose, Norman F. Jacobs, Dennis R. Schaberg, Robert W. Haley, Fever in hospitalized patients The American Journal of Medicine. ,vol. 82, pp. 580- 586 ,(1987) , 10.1016/0002-9343(87)90103-3
Robert W. Haley, Thomas M. Hooton, David H. Culver, Richie C. Stanley, T.Grace Emori, C.David Hardison, Dana Quade, Richard H. Shachtman, Dennis R. Schaberg, Babu V. Shah, Gary D. Schatz, Nosocomial infections in U.S. hospitals, 1975–1976 The American Journal of Medicine. ,vol. 70, pp. 947- 959 ,(1981) , 10.1016/0002-9343(81)90561-1
C. H. MCALPINE, B. J. MARTIN, I. M. LENNOX, M. A. ROBERTS, PYREXIA IN INFECTION IN THE ELDERLY Age and Ageing. ,vol. 15, pp. 230- 234 ,(1986) , 10.1093/AGEING/15.4.230
Allison McGeer, Beverly Campbell, T.Grace Emori, Walter J. Hierholzer, Marguerite M. Jackson, Lindsay E. Nicolle, Carla Peppier, Amersolo Rivera, Debra G. Schollenberger, Andrew E. Simor, Philip W. Smith, Elaine E.-L. Wang, Definitions of infection for surveillance in long-term care facilities American Journal of Infection Control. ,vol. 19, pp. 1- 7 ,(1991) , 10.1016/0196-6553(91)90154-5
Timothy R. Franson, Jeffrey M. Schicker, Susan M. LeClair, Raymond G. Hoffmann, Edmund H. Duthie, Documentation and Evaluation of Fevers in Hospital-Based and Community-Based Nursing Homes Infection Control and Hospital Epidemiology. ,vol. 9, pp. 447- 450 ,(1988) , 10.1086/645741
ANTHONY L. ESPOSITO, RICHARD A. GLECKMAN, Fever of Unknown Origin in the Elderly Journal of the American Geriatrics Society. ,vol. 26, pp. 498- 505 ,(1978) , 10.1111/J.1532-5415.1978.TB03333.X