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Lit Review Matrix Template - Big Risk Factors SAB Risk CD's...

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Big SAB Risk Kaye SSI Grundham Nares prevalence Risk Factors CD’s – heart (hypertension, arterial, diabetes, kidney); med device (catheter, vascular splint, hip arthroplasty, dyalisis graft ); wound (osteomyelitis, endocarditis) ; up w/ age; recent surgery (SSI); mort risk: renal insufficieny, no ECG, unknown source; Up w/ age; Stress; thin skin/skin conditions(hypoxemia, ischemia); CD’s (arterial, diabetes); malnutrition; comorbid condition; immune senescence(Degree of contamination is not greater in elderly = diminished host response): frailty: cognitive impairment; malnutrition; multiple medication; Recent hospitalization; diabetes; skin ulcers confounded by nares colonization/prev. hospitalization; CD; CA-MRSA is a spill over from uncontrolled hospital endemic Protective Factors Both pre & post operative Living condition (more independence better). ADL’s, 75y/o and up; SES; prvt hlth ins; surgery on day of adm.; Independence; ADL; pre & post living condition; Perspective from Eco Model Intra, Inter, Com., Org., Policy Duration of antibiotic treatment shorter in elderly than younger pop = diminished host respone (no fever or leukocytosis) to indicate onset of infection.
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Primary Prevention Interventions Eco Model Intra, Inter, Com., Org., Policy Preoperative screening & decolonization Pre & post operative antibiotic prophylaxis; control glucose levels
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