TY  - JOUR
PY  - 2023//
TI  - Prevalence of traumatic brain injury and associated infections in a trauma center in northern India
JO  - Journal of global infectious diseases
A1  - Kar, Mitra
A1  - Sahu, Chinmoy
A1  - Singh, Pooja
A1  - Bhaisora, Kamlesh Singh
A1  - Tejan, Nidhi
A1  - Patel, Sangram Singh
A1  - Ghoshal, Ujjala
SP  - 137
EP  - 143
VL  - 15
IS  - 4
N2  - INTRODUCTION: One of the rapidly escalating public health problems worldwide is traumatic brain injury (TBI) due to road traffic accidents. In comparison to postneurosurgery patients and other patients inhabiting the intensive care units (ICUs), patients with TBI are more susceptible to nosocomially acquired infections from the hospital milieu. <br><br>METHODS: This retrospective study was conducted at a university hospital in Northern India from December 2018 to September 2022. All patients presenting with TBI formed the cohort of our study population. <br><br>RESULTS: A total of 72 patients with TBI were enrolled. The mean age of patients was 40.07 ± 18.31 years. The most common infections were ventilator-associated pneumonia (VAP) (44/72, 61.11%) and bloodstream infection (BSI) in 21 (21/72, 29.17%) patients. Concomitant infections were observed in 21 (21/72, 29.17%) patients. The common organism causing VAP was Acinetobacter spp. (29/58, 50.0%), BSI was Klebsiella pneumoniae (10/23, 43.48%), urinary tract infection was K. pneumoniae (5/16, 31.25%), and surgical site infection was Acinetobacter spp. (3/8, 37.5%) in TBI patients. An increased incidence of multidrug resistance was demonstrated in our patients. The increased length of hospital and ICU stay, ICU admission, intubation, diabetes mellitus, chronic kidney disease, and hypertension were statistically significant parameters that made TBI patients prone to develop an infection. <br><br>CONCLUSION: TBI patients suffering from underlying comorbidities are prone to develop infections with multidrug-resistant bacteria was observed among our study cohort which also mirrors the lack of adherence to infection control measures.<p />  <p>Language: en</p>
LA  - en
SN  - 0974-777X
UR  - http://dx.doi.org/10.4103/jgid.jgid_66_23
ID  - ref1
ER  -