Asymptomatic urinary tract colonisation predisposes to superficial wound infection in elective orthopaedic surgery

There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients h...

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Bibliographic Details
Published in:International orthopaedics 2009-06, Vol.33 (3), p.847-850
Main Authors: Ollivere, B. J., Ellahee, N., Logan, K., Miller-Jones, J. C. A., Allen, P. W.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cohort Studies
Comorbidity
Elective Surgical Procedures - adverse effects
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedic Procedures - adverse effects
Orthopedics
Risk Factors
Surgical Wound Infection - diagnosis
Surgical Wound Infection - epidemiology
Surgical Wound Infection - microbiology
United Kingdom - epidemiology
Urinary Tract Infections - diagnosis
Urinary Tract Infections - epidemiology
Urinary Tract Infections - microbiology
Urine - microbiology
Young Adult
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Summary:There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients had their urine dipstick tested and positive samples were sent for culture and microscopy. Patients with a positive urine culture were treated with antibiotics prior to surgery; 85% of dipsticks tested were positive, while only 7% of the urine samples were culture positive. Over 36% of patients with a pre-operative UTI show some form of post-operative delayed wound healing or confirmed infection versus 16% in the other subgroup giving a relative risk of wound complications of 2:1 ( p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-008-0573-4