Study of Urinary Infection and Colonization Before Bone Surgery in Seniors Aged 65 and Older and Its Link to Post-Surgery Complications

What this Trial Is About

Researchers are observing seniors aged 65 and older who are undergoing surgical procedures related to bone surgery, traumatology, or orthopedics. The study aims to understand the relationship between urinary tract infections or colonization before surgery within 30 days prior and the occurrence of specific postoperative complications during hospitalization. The study also explores the role of frailty and antibiotic use before surgery in these outcomes. Before surgery, patients will have urine samples collected and tested for infection through chemical and sediment examinations as part of their pre-anesthetic checkup. If infection is suspected, further bacteriological tests will be done. Information such as symptoms, fever presence, treatment of any infection, type of anesthesia, antibiotic use, and patient origin home or care facility will be recorded. After surgery, researchers will monitor for urinary infections and complications including fever, circulatory instability, delirium, sepsis, infection, and death while tracking hospital stay and departments involved. Participants will be followed during their hospital stay with assessments including urine tests, symptom tracking, antibiotic therapy, and frailty evaluation using the Clinical Frailty Scale. Researchers will review these data to identify connections between preoperative urinary infections and postoperative complications, as well as the impact of frailty and antibiotic treatments. The study will monitor outcomes for about one week after surgery, with detailed recording of complications and treatments throughout hospitalization.

Urinary Infection and Colonization in Bone Procedures