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A Retrospective Study on Risk Factors for Urinary Tract Infection in Patients with Intracranial Cerebral Hemorrhage
Jingsong Mu1, Chaomin Ni1, Ming Wu1
1Department of Rehabilitation Medicine, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, China.
Biomed Research International
|February 25, 2020
Summary
Older age and elevated D-dimer levels are key risk factors for urinary tract infections (UTI) in patients with intracranial cerebral hemorrhage (ICH). Right-sided paralysis may offer protection against UTI in this patient group.
Area of Science:
- Neurology
- Infectious Diseases
- Critical Care Medicine
Background:
- Urinary tract infections (UTIs) are a common complication in patients with intracranial cerebral hemorrhage (ICH).
- Identifying risk factors for UTI in ICH patients is crucial for effective prevention and management strategies.
Purpose of the Study:
- To investigate the independent risk factors associated with the development of urinary tract infections (UTIs) in patients suffering from intracranial cerebral hemorrhage (ICH).
Main Methods:
- A retrospective study was conducted on 77 patients with ICH.
- Patients were categorized into UTI and non-UTI groups based on clinical data, urinalysis, and urine culture.
- Univariate and multivariate logistic regression analyses were employed to identify risk factors.
Main Results:
- Univariate analysis indicated potential associations between UTI and factors including age, paralysis side, consciousness disturbance, limb Brunnstrom stage, tracheotomy, catheterization, pulmonary infection, leukocyte count, neutrophil proportion, sodium, uric acid, D-dimer, and fibrinogen.
- Multivariate logistic regression identified increased age (OR=1.207) as an independent risk factor for UTI.
Conclusions:
- Advanced age and elevated D-dimer levels are identified as independent risk factors for UTI in ICH patients.
- Interestingly, right-sided paralysis emerged as a protective factor against UTI in this cohort.
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