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在急性缺血性中风住院患者的尿路感染的决定因素
Pornpong Jitpratoom1, Adhiratha Boonyasiri2
1Division of Medicine, Chumphon Khet Udomsakdi Hospital, Chumphon, Thailand.
BMC neurology
|June 30, 2023
概括
尿路感染 (UTI) 在急性缺血性中风 (AIS) 后很常见. 严重的中风和导管使用增加了尿路感染的风险,而更高的血压和他类药物可能会保护. 尿路感染导致更糟糕的结果和更长的住院时间.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 尿路感染 (UTI) 是急性缺血性中风 (AIS) 后的常见并发症.
- 了解AIS患者的尿路感染发病率和影响对于改善护理至关重要.
研究的目的:
- 确定住院AIS患者中尿路感染的发病率和危险因素.
- 描述感染模式并确定相关的中风后并发症.
- 评估尿路感染对患者结果的影响,包括停留时间和功能恢复.
主要方法:
- 在中风发作后7天内入院的AIS患者的回顾性队列研究.
- 具有和没有尿路感染的患者之间的临床数据的比较.
- 多变量分析以确定尿路感染发展的风险和保护因素.
主要成果:
- 严重的中风 (NIHSS ≥15) 和使用福利导管是显著的尿路感染风险因素.
- 较高的缩血压 (>120 mmHg) 和他类药物的使用具有保护性.
- 尿路感染患者出现了更多的并发症,住院时间更长 (12 vs. 3 天),以及3个月后功能结果更差 (mRS 5 vs. 2).
- 大肠杆菌是最常见的病原体;64.5%的尿路感染是社区获得的.
结论:
- 严重的中风和尿道导管是AIS后尿道感染的关键风险因素.
- 某些因素,如高SBP和他类药物的使用,似乎具有保护作用.
- 尿道感染显著加重中风后并发症,增加停留时间,并在3个月后损害功能恢复.
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