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Document Type

Original Article

Abstract

Stroke is one of the commonest neurological disorders, contributing to the major burden of inpatient and outpatient neurology services. Infections after the stroke are the major factor, contributingto prolonged hospital stay and poor outcome in term of increasing morbidity and mortality. The aim of this study is to define the different types of infections in post stroke patients and their impact on the outcome of patients with stroke. METHOD: This is a descriptive, cross sectional study, that was carried out in the section of Neurology, Department of Medicine at Aga Khan University Hospital, Karachi over the span of one year. The strokes were classified as either ischemic or hemorrhagic. Different types of infections i.e. chest infections, urinary tract infections,, phlebitis, cellulitis and others were noted and the risk factors associated with their occurrence were identified. Data was entered and analyzed on SPSS 23. RESULTS: 104 patients with the diagnosis of acute stroke, who developed infections at least 48 hours after their presentation, were identified. There were sixty (58%) male and forty-four (42 %) females. Sixty-four (61.5%) of patients had a diagnosis of ischemic stroke, while thirty-six (34.6%) had hemorrhagic strokes, while data was missing in 4(3.8%)cases about the type of stroke. The commonest infection was Aspiration pneumonia, accounting for seventy-two (69%) of patients, followed by Urinary tract infections, that was found in fifty-six (54%) of the patients. Significant association of aspiration pneumonia with the level of consciousness was found. CONCLUSION: Stroke is one of the commonest neurological disorders. Ischemic strokes accounts for almost 2/3rd. of the stroke.The commonest infection was Aspiration pneumonia, accounting for seventy-two(69%) of patients, followed by Urinary tract infections, that was found in fifty-six (54%) of the patients. Significant association of aspiration pneumonia with the level of consciousness was found.

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