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344 TRACHEOSTOMY: A MULTIPROFESSIONAL HANDBOOK Table 1: General factors associated with increased risk of infection Extremes of age Reduced immune status Hospitalisationinstitutional care Presence of invasive devices Clinical investigations Concurrent underlying conditions Multi-organ impairment (associated with critical care situations) Studies into the socio-economic burden Spronge infections estimate the cost to the National Health Service (NHS) to be around £986 million per annum; with £930 Broker‎s spent on in-patient treatment and care and a further £55 million in the community.

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