{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:39:22Z","timestamp":1792607962024,"version":"4.5.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":1250,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:sec id=\"S0195941700050050_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To determine the prevalence of health care-associated infection (HAI) in older people in acute care hospitals, detailing the specific types of HAI and specialties in which these are most prevalent.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700050050_abs2\"><jats:title>Design.<\/jats:title><jats:p>Secondary analysis of the Scottish National Healthcare Associated Infection Prevalence Survey data set.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700050050_abs3\"><jats:title>Patients and Setting.<\/jats:title><jats:p>All inpatients in acute care (<jats:italic>n<\/jats:italic> = 11,090) in all acute care hospitals in Scotland (<jats:italic>n<\/jats:italic> = 45).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700050050_abs4\"><jats:title>Results.<\/jats:title><jats:p>The study found a linear relationship between prevalence of HAI and increasing age (<jats:italic>P<\/jats:italic>&lt;.0001) in hospital inpatients in Scotland. Urinary tract infections and gastrointestinal infections represented the largest burden of HAI in the 75\u201384- and over-85-year age groups, and surgical-site infections represented the largest burden in inpatients under 75 years of age. The prevalence of urinary catheterization was higher in each of the over-65 age groups (<jats:italic>P<\/jats:italic>&lt;.0001). Importantly, this study reveals that a high prevalence of HAI in inpatients over the age of 65 years is found across a range of specialties within acute hospital care. An increased prevalence of HAI was observed in medical, orthopedic, and surgical specialties.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700050050_abs5\"><jats:title>Conclusions.<\/jats:title><jats:p>HAI is an important outcome indicator of acute inpatient hospital care, and our analysis demonstrates that HAI prevalence increases linearly with increasing age (<jats:italic>P<\/jats:italic>&lt;.0001). Focusing interventions on preventing urinary tract infection and gastrointestinal infections would have the biggest public health benefit. To ensure patient safety, the importance of age as a risk factor for HAI cannot be overemphasized to those working in all areas of acute care.<\/jats:p><\/jats:sec>","DOI":"10.1086\/660871","type":"journal-article","created":{"date-parts":[[2011,7,18]],"date-time":"2011-07-18T15:50:51Z","timestamp":1311004251000},"page":"763-767","source":"Crossref","is-referenced-by-count":46,"title":["The Prevalence of Health Care\u2013Associated Infection in Older People in Acute Care Hospitals"],"prefix":"10.1017","volume":"32","author":[{"given":"Shona","family":"Cairns","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqui","family":"Reilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Tolson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Godwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Knight","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700050050_ref001","volume-title":"Scotland's Population 2008","year":"2009"},{"key":"S0195941700050050_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2007.08.014"},{"key":"S0195941700050050_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(03)00150-6"},{"key":"S0195941700050050_ref012","doi-asserted-by":"publisher","DOI":"10.1086\/599774"},{"key":"S0195941700050050_ref011","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2008.01992.x"},{"key":"S0195941700050050_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(98)90173-6"},{"key":"S0195941700050050_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2006.09.006"},{"key":"S0195941700050050_ref002","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl070"},{"key":"S0195941700050050_ref006","volume-title":"NHS Scotland National HAI Prevalence Survey: final report","author":"Reilly","year":"2007"},{"key":"S0195941700050050_ref007","volume-title":"National nosocomial infection study site definition manual","year":"1999"},{"key":"S0195941700050050_ref003","doi-asserted-by":"publisher","DOI":"10.3201\/eid0702.010224"},{"key":"S0195941700050050_ref004","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi197"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700050050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T03:22:39Z","timestamp":1556335359000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700050050\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["S0195941700050050"],"URL":"https:\/\/doi.org\/10.1086\/660871","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8]]}}}