Urinary Infection and Colonization in Bone Procedures

Launched by TOMAS BATA HOSPITAL, CZECH REPUBLIC · Mar 19, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at how urinary tract infections (UTIs) or colonization (the presence of bacteria in the urine without causing an infection) in seniors may affect their recovery after bone surgeries. The study focuses on adults aged 65 and older who are having either planned surgeries or surgeries due to accidents. Researchers want to see if having a UTI in the 30 days before surgery is linked to complications that might happen during the hospital stay after the surgery.

To be eligible for this study, participants must be over 65 years old and undergoing specific types of bone surgeries. They need to have a urine test done before their surgery to check for any signs of infection. Participants will be asked to give their consent to join the study, ensuring they understand and agree to take part. It’s important to note that people with certain conditions, like significant mental health issues or severe illness, won't be included in the study. Overall, this trial aims to better understand how UTIs affect recovery in older adults undergoing surgery, which could help improve care for patients in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age over 65 years, including
• • Elective or acute trauma/orthopedic bone surgery
• • Urine examination as part of pre-anesthetic examination, urine + sediment, in case of suspicion - bacteriological examination
• • Signed informed consent for research as part of pre-anesthetic examination (I or II), respecting informed consent as an expression of the patient's "free will"
• Exclusion Criteria:
• • Negative finding in urine: chemical examination + sediment preoperatively
• • Respondent under the influence of premedication, alcohol, or drugs
• • Sensory impairment (blindness)
• • Delirious preoperative state
• • Severe mental disorder
• • Sopor
• • coma
• • Septic state
• • Acute respiratory failure
• • Disagreement with participation in the study