Risk Factors of Post Stroke Pulmonary Infection in the Critically Ill Patients. | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 2, June 2025, Page 159-169 PDF (227.94 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.429963 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hanan Farag Mohamed* 1; Nadia Taha Mohamed2; Bassem Nashaat Beshay3; Heba Hashem Monged , Morsy4 | ||||
| 1demonstrator Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| 2Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| 3Professor Critical Care Medicine, Faculty of Medicine, Alexandria University | ||||
| 4Lecturer Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: Critically ill patients have many diagnoses as stroke that may produce a lot of complications. One of these complications is a post-stroke pulmonary infection (PSPI). Post-stroke pulmonary infection that occurs within seven days of stroke onset. Many risk factors may be responsible for the occurrence of PSPI. therefore, the health team must perform an early assessment to identify this factor and prevent its occurrence. Objective: To Identify the risk factors of poststroke pulmonary infection in critically ill patients. Settings: The study was carried out in the intensive care units (ICUs) at Alexandria Main University Hospital, Egypt. Subjects: newly admitted critically ill adult patients (70) with recent cerebrovascular stroke were included in the study Patients who were excluded: have pneumonia before the stroke, Active infection within 2 weeks before admission or prophylactic antibacterial therapy, dysphagia before the stroke, Severe hepatic, renal diseases, cancer received immunosuppressant treatment, and History of stroke. Tools: Two tools were utilized for data collection in this study. Tool one: “Risk factors of post-stroke pulmonary infection assessment”, Tool two: A2DS2 tool A (age), A (Atrial fibrillation), D (dysphagia), S (Sex), S (Stroke Severity). Results: The study showed that A. Patients-related risk factors such as oral disease, disturbed level of consciousness, dependent self-position, and decreased albumin level significantly contributed to the PSPI (p <0.001, 0.023, 0.010, 0.001 respectively). B. Nurses-related risk factors include not Performing hand hygiene with the right technique, not following sterile technique during tracheal suction, instillation of saline during tracheal suction, not performing oral hygiene to patients with an antiseptic solution, not Monitoring cuff pressure, not performing percussion, did not perform coughing exercise were significantly contributed to the PSPI (p = 0.011, 0.007, 0.016, 0.048, <0.001, 0.005 respectively). Conclusion: the risk factors that increase the incidence of PSPI were dysphagia, severity of stroke, oral disease, disturbed level of consciousness, and immobility. Recommendations: Critical care nurses should conduct comprehensive assessments for risk factors such as swallowing tests, stroke severity, oral disease, and level of consciousness for patients who are suffering from acute stroke. | ||||
| Keywords | ||||
| post-stroke pulmonary infection; risk factors; stroke patients | ||||
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