Frequency and Risk Factors of Pneumonia and Urinary Tract Infection during Hospitalization in Acute Stroke Patients.

Bangladesh Journal of Neuroscience Pub Date : 2016-07-31 DOI:10.3329/bjn.v32i2.57444

Shaheda Ahmad, Matiur Rahman, M. Hosen, A. Kalam, Mohammed Shoab, Md Rafiqul Islam

{"title":"Frequency and Risk Factors of Pneumonia and Urinary Tract Infection during Hospitalization in Acute Stroke Patients.","authors":"Shaheda Ahmad, Matiur Rahman, M. Hosen, A. Kalam, Mohammed Shoab, Md Rafiqul Islam","doi":"10.3329/bjn.v32i2.57444","DOIUrl":null,"url":null,"abstract":"Background: Acute stroke Patients are at risk of developing a wide range of complications. Among these medical complications the most common are infections, including pneumonia and urinary tract infection (UTI). This study was designed to see the frequency and risk factors of pneumonia and UTI after acute stroke in hospitalized patients. \nMethods : This prospective observational study was done in the Department of Neurology and Department of Medicine, Sylhet M.A.G Osmani Medical College Hospital, from May 2014 to November 2014. After hospitalization, a total number of 80 acute stroke patients were enrolled in this study. All patients of both sexes, presented with acute stroke, were confirmed by CT scan of head; vascular risk factors were recorded and relevant investigations were done. \nResults: Among the study subjects Urinary tract infection was found in 23 (28.8%) patients. Statistically significant risk factors for UTI were : > 65 years age (OR=2.926; 95% of CI=1.044-8.202; p=0.037). Female gender (OR=0.327; 95% of CI=0.120-0.889; p=0.026), diabetes (OR=2.015; 95% of CI=1.019-7.780; p=0.042), Severe stroke (OR=3.331; 95% of CI=1.217-9.116; p=0.017), Foley tube catheterization (OR=4.229; 95% of CI=1.492-11.982; p=0.005). Pneumonia developed in 17 (21.2%) patients and no pneumonia in 63 (78.8%) patients. \nConclusion : UTI and pneumonia are common occurrence after acute stroke during stroke hospitalization. Older age, female gender, diabetes mellitus, severe stroke at presentation and urinary catheterization were found the risk factors of UTI; whereas older age, severe stroke at presentation, nasogastric tube feeding, oropharyngeal suction and difficulty in swallowing were found the risk factors of pneumonia in acute stroke. \nBangladesh Journal of Neuroscience 2016; Vol. 32 (2): 74-84","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"8 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Journal of Neuroscience","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bjn.v32i2.57444","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Acute stroke Patients are at risk of developing a wide range of complications. Among these medical complications the most common are infections, including pneumonia and urinary tract infection (UTI). This study was designed to see the frequency and risk factors of pneumonia and UTI after acute stroke in hospitalized patients. Methods : This prospective observational study was done in the Department of Neurology and Department of Medicine, Sylhet M.A.G Osmani Medical College Hospital, from May 2014 to November 2014. After hospitalization, a total number of 80 acute stroke patients were enrolled in this study. All patients of both sexes, presented with acute stroke, were confirmed by CT scan of head; vascular risk factors were recorded and relevant investigations were done. Results: Among the study subjects Urinary tract infection was found in 23 (28.8%) patients. Statistically significant risk factors for UTI were : > 65 years age (OR=2.926; 95% of CI=1.044-8.202; p=0.037). Female gender (OR=0.327; 95% of CI=0.120-0.889; p=0.026), diabetes (OR=2.015; 95% of CI=1.019-7.780; p=0.042), Severe stroke (OR=3.331; 95% of CI=1.217-9.116; p=0.017), Foley tube catheterization (OR=4.229; 95% of CI=1.492-11.982; p=0.005). Pneumonia developed in 17 (21.2%) patients and no pneumonia in 63 (78.8%) patients. Conclusion : UTI and pneumonia are common occurrence after acute stroke during stroke hospitalization. Older age, female gender, diabetes mellitus, severe stroke at presentation and urinary catheterization were found the risk factors of UTI; whereas older age, severe stroke at presentation, nasogastric tube feeding, oropharyngeal suction and difficulty in swallowing were found the risk factors of pneumonia in acute stroke. Bangladesh Journal of Neuroscience 2016; Vol. 32 (2): 74-84

查看原文本刊更多论文

急性脑卒中患者住院期间肺炎和尿路感染的发生频率及危险因素

背景:急性脑卒中患者有发生多种并发症的危险。在这些医疗并发症中，最常见的是感染，包括肺炎和尿路感染(UTI)。本研究旨在了解住院患者急性脑卒中后肺炎和尿路感染的发生频率和危险因素。方法:本前瞻性观察研究于2014年5月- 2014年11月在Sylhet M.A.G Osmani医学院附属医院神经内科和内科完成。住院后共纳入80例急性脑卒中患者。所有急性脑卒中患者，不论男女，均通过头部CT扫描确诊;记录血管危险因素并进行相关调查。结果:研究对象中有23例(28.8%)发生尿路感染。尿路感染有统计学意义的危险因素为:60 ~ 65岁(OR=2.926;95% CI=1.044-8.202;p = 0.037)。女性(OR=0.327;95% CI=0.120 ~ 0.889;p=0.026)，糖尿病(OR=2.015;95% CI=1.019-7.780;p=0.042)，重度卒中(OR=3.331;95% CI=1.217-9.116;p=0.017)， Foley管插管(OR=4.229;95% CI=1.492-11.982;p = 0.005)。17例(21.2%)患者出现肺炎，63例(78.8%)患者未出现肺炎。结论:急性脑卒中住院期间尿路感染和肺炎发生率较高。高龄、女性、糖尿病、就诊时严重脑卒中和导尿是尿路感染的危险因素;老年、重症卒中、鼻胃管喂养、口咽部吸痰、吞咽困难是急性卒中并发肺炎的危险因素。孟加拉国神经科学杂志2016;Vol. 32 (2): 74-84

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Bangladesh Journal of Neuroscience

自引率

0.00%

发文量