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OBJECTIVE

Critically ill neurological patients are susceptible to infections that may be distinct from other intensive care patients. The aim of this study is to quantify the prevalence, risk factors, and effect on the outcome of nosocomial infectious complications in patients with subarachnoid hemorrhage (SAH).

METHODS

We studied 573 consecutive patients with SAH, identified the most prevalent infectious complications, and performed univariate analyses to determine risk factors for each complication. Multiple logistic regression models were constructed to calculate adjusted odds ratios for associated risk factors and to assess the impact of infectious complications on 3-month outcome as evaluated with the modified Rankin Scale.

RESULTS

The most prevalent nosocomial infections were pneumonia (n= 114, 20%), urinary tract infection (n= 77, 13%), bloodstream infection (BSI)(n= 48, 8%), and meningitis/ventriculitis (n …