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May 15, 2019

ESOC-2019

HEALTHCARE ASSOCIATED INFECTIONS IN CRITICALLY ILL NEUROLOGICAL PATIENTS WITH STROKE

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critically ill neurological patient

infectious complications in stroke

critical care

critical conditions in neurology

complications after stroke

Abstract

Abstract

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Keywords

critically ill neurological patient

infectious complications in stroke

critical care

critical conditions in neurology

complications after stroke

Abstract

Traditionally, critically ill neurological patients (CINP) have been considered as high risk patients for the development of healthcare associated infections (HAI). And when infectious complications take place, it is associated with a large increase in mortality and Intensive Care Unite (ICU) length of stay. Objectives. To develop a model that takes into account the different factors that intervene in the development of hospital-aquired infections in CINP accepted to the ICU, such as different nosological groups, the presence of invasive devices, the type of infection and sepsis. Metods. We collected all clinical data of 24 patients with stroke, who were admitted to the ICU for an expected stay at least 48 hours. Each patient was examined daily for signs and symptoms of infection and was classified in nosological groups. Results. 11 patients have had hemorrhage and in 13 patients were ischemic stroke: 7 cardioembolic (CE 54%), 3 atherothrombotic (AT 23%) and 3 cryptogenic (CG 23%). HAIs have been most severe in patients with cardioembolic stroke. Infectious complications were represented by tracheobronchitis (38%), nosocomial pneumonia (46%) (including ventilator-associated pneumonia), catheter-associated bloodstream infections (15%) and catheter-associated urinary tract infections (31%). 5 patients had more than one infectious complications. 8 patients were ventilated: 50% CE, 25% AT, 25% CG. Mortality was 33.3% and all patients were with cardioembolic stroke. Conclusion. This analysis allows explaining the relationship between clinical aspects with HAIs in patients with stroke accepted to the ICU. Infectious complications were mostly associated with invasive ventilation and patient with cardioembolic stroke had the most severe infectious complications and unfavourable outcomes.

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© Copyright 2019 Morressier GmbH.
All rights reserved.