Food for thought. Malnutrition risk associated with increased risk of healthcare-associated infection

Fitzpatrick, Fidelma; Skally, Máiréad; O’Hanlon, Carmel; Foley, Margaret; Houlihan, Jane; Gaughan, Leah; Smith, Oonagh; Moore, Bernice; Cunneen, S.; Sweeney, Eamonn; Dinesh, Binu; O’Connell, Karina; Smyth, E.G.; Humphreys, Hilary; Burns, Karen

doi:10.1016/j.jhin.2018.12.012

Cited by 17 publications

(11 citation statements)

References 23 publications

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“…The serum alb level is a marker of the nutrition level. Research published recently pointed out that patients at risk of malnutrition were more likely to have a healthcare-associated infection, with malnutrition assessed by BMI, recent weight loss, and dietary intake (25). A case report and retrospective analysis from Japan discovered that higher BP180 antibody titer resistant to corticosteroids treatment was a risk factor for developing CMV infection in BP patients (26).…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Characteristics and Associated Factors of Infectious Complications in Bullous Pemphigoid

et al. 2020

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Objectives:The clinical outcome of bullous pemphigoid appears worse in patients with infectious complications, and assessment of the prevalence and risk factors of infectious complications could be necessary to plan preventative strategies and to instruct the treatment plans. We sought to determine the risk factors of infection and compare associated factors in inpatients and outpatients with different system infections. Design: This is a single-centered retrospective study on the medical records of 252 patients from 2010 to 2018 at the dermatology department, Peking Union Medical College. Medical profiles of medical history, diagnosis, infectious complications, and treatment plans were analyzed. The associated factors were compared between the subgroups, including inpatients and outpatients, different body sites of infection. Conclusions: Infectious complications of bullous pemphigoid are common and are associated with mucosal involvement of BP, more comorbidities, the higher dose of corticosteroids, and the lower level of serum albumin.

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Section: Discussionmentioning

confidence: 99%

Assessment of the Characteristics and Associated Factors of Infectious Complications in Bullous Pemphigoid

et al. 2020

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“…In older malnourished adults, this manifests as the loss of cell-mediated immunity in particular [ 22 ], increasing the risk for infection and delaying recovery from disease [ 23 ]. Several studies have thus shown a close relationship between malnutrition and risk for infection, such as healthcare-associated infections [ 24 ], infectious complications and subsequent longer stays in intensive care units (ICU) and increased ICU mortality in older malnourished patients [ 25 ].…”

Section: Impact Of Malnutrition In the Oldmentioning

confidence: 99%

Malnutrition in Older Adults—Recent Advances and Remaining Challenges

2021

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Malnutrition in older adults has been recognised as a challenging health concern associated with not only increased mortality and morbidity, but also with physical decline, which has wide ranging acute implications for activities of daily living and quality of life in general. Malnutrition is common and may also contribute to the development of the geriatric syndromes in older adults. Malnutrition in the old is reflected by either involuntary weight loss or low body mass index, but hidden deficiencies such as micronutrient deficiencies are more difficult to assess and therefore frequently overlooked in the community-dwelling old. In developed countries, the most cited cause of malnutrition is disease, as both acute and chronic disorders have the potential to result in or aggravate malnutrition. Therefore, as higher age is one risk factor for developing disease, older adults have the highest risk of being at nutritional risk or becoming malnourished. However, the aetiology of malnutrition is complex and multifactorial, and the development of malnutrition in the old is most likely also facilitated by ageing processes. This comprehensive narrative review summarizes current evidence on the prevalence and determinants of malnutrition in old adults spanning from age-related changes to disease-associated risk factors, and outlines remaining challenges in the understanding, identification as well as treatment of malnutrition, which in some cases may include targeted supplementation of macro- and/or micronutrients, when diet alone is not sufficient to meet age-specific requirements.

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“…Over the past five years, nursing and infection-prevention practitioners have refocused on the importance of fundamental aspects of care such as early mobilisation (Stolbrink et al, 2014), adequate hydration (Wilson et al, 2018), nutrition (Fitzpatrick et al, 2019) and oral care (El-Rabbany et al, 2015) as being central to improving patient outcome and minimising the risk of healthcare-associated infection.…”

Section: Importance Of Fundamental Elements Of Carementioning

confidence: 99%

Revisiting Florence Nightingale: International Year of the Nurse and Midwife 2020

Loveday

2020

Journal of Infection Prevention

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Food for thought. Malnutrition risk associated with increased risk of healthcare-associated infection

Cited by 17 publications

References 23 publications

Assessment of the Characteristics and Associated Factors of Infectious Complications in Bullous Pemphigoid

Assessment of the Characteristics and Associated Factors of Infectious Complications in Bullous Pemphigoid

Malnutrition in Older Adults—Recent Advances and Remaining Challenges

Revisiting Florence Nightingale: International Year of the Nurse and Midwife 2020

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