अमूर्त

Analysis of pathogenic bacteria and risk factors in emergency patients with cerebral apoplexy

Zhang Yanhua

Objective: To investigate pathogen and risk factors of hospital infection in emergency patients with stroke.

Methods: The clinical data of 412 patients with acute stroke in the emergency from August of 2015 to March of 2017 were analysed to analyse main risk factors.

Results: Among 412 patients with acute stroke, 53 cases were hospital-acquired with an infection rate of 12.86%, of which gram-negative bacteria, gram-positive bacteria and fungi took a great proportion among infectious pathogens. Analysis of influence of risk factors for learned that emergency the influence factors of stroke patients hospital infection rates are high for: age 65 or higher, invasive operation, mechanical ventilation, diabetes, strength grade 3 or below level 3, the prophylactic use of antibiotics, etc. (P<0.05).

Conclusion: The incidence of hospital infection in patients with acute stroke was high, especially in patients with hemorrhagic cerebral apoplexy. We should enhance the cerebrovascular disease of primary and secondary prevention measures, reduce the risks of stroke, and intensify efforts to control the risk factors. For risk factors, clinical workers should strictly control the use of antimicrobial agents, as far as possible to decrease the frequency of using various invasive operations and catheter indwelling time, in order to reduce the incidence of hospital infection.