Risk factors for healthcareassociated infection in patients with aneurysmal subarachnoid hemorrhage
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R743.35

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    Abstract:

    ObjectiveTo investigate risk factors for healthcareassociated infection(HAI) in patients with aneurysmal subarachnoid hemorrhage(aSAH) in the department of neurology of a hospital. MethodsClinical data of 47 patients with aSAH who were admitted to a hospital from January 2014 to January 2015 were retrospectively analyzed. ResultsOf 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). ConclusionPatients 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.

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何双英,唐红宇,王爱民.动脉瘤性蛛网膜下腔出血患者医院感染危险因素[J].中国感染控制杂志英文版,2016,15(6):408-411. DOI:10.3969/j. issn.1671-9638.2016.06.011.
HE Shuangying, TANG Hongyu, WANG Aimin. Risk factors for healthcareassociated infection in patients with aneurysmal subarachnoid hemorrhage[J]. Chin J Infect Control, 2016,15(6):408-411. DOI:10.3969/j. issn.1671-9638.2016.06.011.

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History
  • Received:February 14,2016
  • Revised:March 22,2016
  • Adopted:
  • Online: June 30,2016
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