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Systematic review of nutritional interventions to prevent healthcare-associated infections in undernourished elderly

Published online by Cambridge University Press:  30 August 2013

A. Bak ,
J. Browne ,
H. P. Loveday  and
A. Tsiami
A. Bak
Affiliation:
Joanna Briggs Institute Collaboration Centre, University of West London, Brentford TW8 9GA, UK
J. Browne
Affiliation:
Joanna Briggs Institute Collaboration Centre, University of West London, Brentford TW8 9GA, UK
H. P. Loveday
Affiliation:
Joanna Briggs Institute Collaboration Centre, University of West London, Brentford TW8 9GA, UK
A. Tsiami
Affiliation:
Joanna Briggs Institute Collaboration Centre, University of West London, Brentford TW8 9GA, UK
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Abstract

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Abstract
Information
Proceedings of the Nutrition Society , Volume 72 , Issue OCE4: Summer Meeting, 15–18 July 2013, Nutrition and healthy ageing , 2013 , E212
Copyright
Copyright © The Authors 2013 

Undernutrition in elderly patients is a major public health concern. Infections could be related to malnutrition, and may have a detrimental effect on health. The recognition and treatment of undernutrition may prevent infections in elderly. This systematic review explored a link between undernourished elderly and the risk of acquiring infections in a healthcare setting. It also explored the effectiveness of nutritional interventions in this group to prevent healthcare associated infections (HCAIs).

A search was performed according to Joanna Briggs Institute systematic review guidelines( Reference Pearson 1 ) was performed. Comprehensive search of key words was used to explore the following databases: MEDLINE, EMBASE, CINAHL and Cochrane Library. The search was limited to articles published in English and after 1990. The inclusion criteria were people ≥60 and undernourished. The outcome was limited to HCAIs only.

The search has generated 253 papers, of which 9 were identified as meeting inclusion criteria (3 interventions( Reference Rypkema 2 – Reference Aquilani4 ) and 6 descriptive studies( Reference Batsis 5 – Reference Kuikka10 )) and were included in final analysis.

Setting: hospital except Kuikka et al. (nursing home) and Aquillani et al. (Rehabilitation Centre), LOS=Mean Length Of Stay, n/a=data not available, p value for all studies either unavailable or not significant.

The data presented in the studies does not show a direct link between nutrition and HCAIs. The studies however were not designed to evaluate nutrition as a factor influencing development of HCAIs. Duration, number of people and parameters reported were not consistent in these studies, resulting in a poor quality of the data.

References

1. Pearson, et al. (2005) Int J Evid Based Healthc 3, 207–215.Google Scholar
2. Rypkema, et al. (2004) J Nutr Health Aging 8, 122–127.Google Scholar
3. Johansen, et al. (2004) Clin Nutr 23, 539–550.CrossRefGoogle Scholar
4. Aquilani, et al. (2011) Arch Gerontol Geriatr 52, 123–128.CrossRefGoogle Scholar
5. Batsis, et al. (2009) J Hosp Med 4, 1–9.CrossRefGoogle Scholar
6. Bouillanne, et al. (2005) Am J Clin Nutr 82, 777–783.CrossRefGoogle Scholar
7. Bourdel-Marchasson, et al. (1999) Clin Nutr 18, 233–240.CrossRefGoogle Scholar
8. Bruce, et al. (1999) Aust J Ageing 18, 119–123.CrossRefGoogle Scholar
9. Gamaletsou, et al. (2012) J Hosp Infect 80, 68–172.CrossRefGoogle Scholar
10. Kuikka, et al. (2009) J Am Med Dir Assoc 10, 348–353.CrossRefGoogle Scholar