We have investigated prospectively the incidence of urinary tract infection
(UTI) in 5320 orthopaedic patients. There were 74 UTIs (1.39%). Enterobact
eriaceae was the most frequent etiological agent. Each infection increased
the length of stay in hospital by more than 8 days. Statistically independe
nt risk factors for the development of urinary infection were a preoperativ
e stay of more than 4 days, inadequate preoperative preventive measures, ce
ntral venous catheterization and urinary catheterization. Sex, age, or type
of surgery had no statistical influence on the development of infection.