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SummaryThe authors have studied patients with traumatic and non-traumatic spinal cord injury (SCI) occurring in Spain during 1984 and 1985. They calculate the incidence, and consider the distribution by age, sex, civil state, and the aetiology, lesional level, mortality, job, labour incapacity, dependence independence, social labour reinstatement, transportation from the place of the accident, medical assistance, type of lesion, urinary vesical dysfunction, also re-education, hospital stay, and complications.In addition, they defined the main risk group for SCI (in respect of age, sex, occupation, etc) in order to address the preventive campaigns to the high risk group. They conclude with the prototype of acute SCI in Spain.

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