LU Wanting, HUANG Suling, HONG Yafang, et al. Association between ABO blood group and risk of hospital-associated infection in elderly patientsJ. Chin J Nosocomiol, 2026, 36(11): 1751-1755. DOI: 10.11816/cn.ni.2026-252768
Citation: LU Wanting, HUANG Suling, HONG Yafang, et al. Association between ABO blood group and risk of hospital-associated infection in elderly patientsJ. Chin J Nosocomiol, 2026, 36(11): 1751-1755. DOI: 10.11816/cn.ni.2026-252768

Association between ABO blood group and risk of hospital-associated infection in elderly patients

  • OBJECTIVE  To analyze the association between ABO blood group and hospital-acquired infections (HAIs) in elderly patients, and to provide a reference for early identification of high-risk populations.
    METHODS  A retrospective study was conducted on elderly patients (≥60 years) admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from Jan. 2023 to Dec. 2024. Propensity score matching was applied to balance the HAI and non-HAI groups, followed by logistic regression analysis to explore the association between ABO blood group and HAI risk.
    RESULTS  Among elderly patients with HAIs, blood type O was the most prevalent, while AB was the least common. Compared with blood type A, type B was associated with a higher risk of HAI (OR=1.518). The risk of urinary tract infection in patients with blood type B was 4.083 times that of those with type A. Klebsiella pneumoniae-associated HAIs were significantly associated with blood types B (OR=2.588) and O (OR=2.762).
    CONCLUSIONS  ABO blood group is closely linked to HAI risk in elderly patients and may serve as a risk assessment factor. The underlying mechanisms require further investigation.
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