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. 2017 Feb 1;8(3):2054270416675083.
doi: 10.1177/2054270416675083. eCollection 2017 Mar.

Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis

Rafik Rd Yassa  1 , Mahdi Y Khalfaoui  2 , Karunakar Veravalli  3 , D Alun Evans  3
Affiliations

Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis

Rafik Rd Yassa et al. JRSM Open. .

Abstract

Objective: The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections.

Design: A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data.

Setting: UK University Teaching Hospital.

Participants: All patients (n = 460) presenting across a single year study period with a confirmed hip fracture.

Outcome measures: The presence of pre-operative urinary tract infection, the timing of surgical intervention, the occurrence of post-operative surgical site infection and the pathogens identified.

Results: A total of 367 patients were operated upon within 24 hours of admission. Urinary infections were the least common cause of delay. A total of 99 patients (21.5%) had pre-operative urinary tract infection. Post-operatively, a total of 57 (12.4%) patients developed a surgical site infection. Among the latter, 31 (54.4%) did not have a pre-operative urinary infection, 23 (40.4%) patients had a pre-operative urinary tract infection, 2 had chronic leg ulcers and one patient had a pre-operative chest infection. Statistically, there was a strong relationship between pre-operative urinary tract infection and the development of post-operative surgical site infection (p-value: 0.0005).

Conclusion: The results of our study indicate that pre-operative urinary tract infection has a high prevalence amongst those presenting with neck of femur fractures, and this is a risk factor for the later development of post-operative surgical site infection.

Keywords: Hip; delay; infection; urinary.

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Figures

Figure 1.
Figure 1.
Compliance in early surgery.
Figure 2.
Figure 2.
Causes of delay of hip fracture surgery.
Figure 3.
Figure 3.
Percentage of concomitant UTI and SSI.
See this image and copyright information in PMC

References

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