Risk factors for healthcare-associated infection in patients with aneurysmal subarachnoid hemorrhage
10.3969/j.issn.1671-9638.2016.06.011
- VernacularTitle:动脉瘤性蛛网膜下腔出血患者医院感染危险因素
- Author:
Shuangying HE
;
Hongyu TANG
;
Aimin WANG
- Publication Type:Journal Article
- Keywords:
aneurysmal subarachnoid hemorrhage;
healthcare-associated infection;
risk factor;
disturbance of consciousness;
prognosis
- From:
Chinese Journal of Infection Control
2016;15(6):408-411
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate risk factors for healthcare-associated infection (HAI) in patients with aneurysmal subarachnoid hemorrhage(aSAH)in the department of neurology of a hospital.Methods Clinical data of 47 patients with aSAH who were admitted to a hospital from January 2014 to January 2015 were retrospectively analyzed.Results Of 47 patients with aSAH,17 developed 19 times of HAI,HAI rate was 36.17%,case infection rate was 40.43%.The main infection site was lower respiratory tract (n = 17,89.47%),followed by urinary tract (n=2,10.53%);2 patients had both lower respiratory tract infection and urinary tract infection.17 patients were performed pathogenic detection,13 pathogenic isolates were isolated from 9 patients.Multivariate non-conditional logistic regression analysis revealed that risk factors for HAI in patients with aSAH were disturbance of consciousness (OR,24.878 [95%CI ,3.996 - 156.040])and intensive care unit admission(OR, 8.645 [95%CI ,1.419-52.670]).The prognosis of patients with HAI was poorer than those without HAI(Z =4.108,P < 0.001 ).Conclusion Patients with aSAH are at high risk of HAI,it is necessary to take targeted prevention and control measures for reducing the occurrence of HAI and promoting good prognosis.
