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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 2019, Article ID 6417959, 5 pages
https://doi.org/10.1155/2019/6417959
Research Article

Risk Factors and Prevention Strategies of Nosocomial Infection in Geriatric Patients

Geriatrics Department, Zhongda Hospital Southeast University, No. 87, Dingjiaqiao, Nanjing, China

Correspondence should be addressed to Jihong Zou; moc.361@28604150081

Received 14 November 2018; Revised 16 January 2019; Accepted 30 January 2019; Published 25 February 2019

Academic Editor: Gabriele Messina

Copyright © 2019 Yajie Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. To investigate the risk factors of nosocomial infections (NIs) in geriatric department and the effectiveness of the proposed prevention strategy. Methodology. We studied 3370 cases of elderly patients who were hospitalized more than 48 hours from January 2015 to December 2017 in the Geriatrics Department of Zhongda Hospital, Southeast University. In order to reduce the infection rate, nutritional risk screening (NRS 2002) was used to evaluate the nutritional status of the patients; enteral nutritional suspension (TPF-FOS) was provided to the patients who were assessed to be necessary. Results. Before prevention strategy was taken, the nosocomial infection rate was 3.3% (80 among 2413 patients) in our department. The most frequent NIs were pneumonia (60 cases) followed by urinary tract infection (30 cases). It is worth noting that the elderly patients are often associated with multiple infections: in our study, 15 patients have pneumonia and UTI at the same time. After prevention strategy was taken, the nosocomial infection rate reduced to 1.15% (11 among 957 patients) in our department. Conclusions. NIs are common in elderly patients. The improvement of the nutritional status of patients is effective in reducing the risks of NIs.