Urinary tract infection in patients with hip fractures.
We found that 23% of 435 patients treated for a femoral neck fracture in our department also were treated for a urinary tract infection during their hospital stay. The most common pathogen was Escherichia coli, sensitive for mecillinam in 98% of the cases. The most frequently used antimicrobial agent was a broad-spectrum antibiotic, fluoroquinolon, although the most reasonable choice would have been a non broad-spectrum agent such as mecillinam. Catheterization was not a predisposing factor for urinary tract infection, but a poor medical condition and female sex were. We did not find a higher mortality rate among patients with a urinary tract infection.
Hedström
M
M
Department of Orthopedics, Karolinska Institute, Danderyd Hospital, Sweden.
Gröndal
L
L
Ahl
T
T
D000368:Aged; D000369:Aged, 80 and over; D004927:Escherichia coli Infections / Q000209:etiology; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D011183:Postoperative Complications / Q000188:drug therapy; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D014546:Urinary Catheterization / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000209:etiology*