Introduction: Many head injury patients have reduced consciousness, are prone to aspiration of oral secretions, and likely develop pneumonia. Respiratory tract infection (RTI), especially pneumonia, is a very common disease in neurosurgical intensive care units (NSICU).
Objective: This study evaluates the microbial profile of head injury and stroke patients admitted to Enam Medical College & Hospital (EMCH), Savar, Dhaka, Bangladesh.
Methods: It was a retrospective study conducted at EMCH, Savar, Bangladesh, from 2017 to 2021. A total of 46 patients admitted with a head injury and stroke were enrolled in this study. Data were collected using a structured questionnaire containing all the variables of interest. Data were processed and analyzed with the help of the computer program SPSS for Windows version 25.
Results: This study sample consisted of 84.8% males and 15.2% females. The mean age was 42.54 ± 18.09 years. Pathogens found in culture samples were tracheal aspirate C/S (54.3%), urine C/S (26.1%), catheter tip C/S (13%), and the tip of the ET tube C/S (4.3%). The main attributed pathogens were Staphylococcus aureus (47.8%), Klebsiella spp. (37%), E. coli (32.6%), Streptococcus (2.2%), Acinetobacter spp. (2.2%), and Pseudomonas spp. (2.2%).
Conclusion: This study shows that Staphylococcus aureus, Klebsiella spp., and E. coli are the most common isolated pathogens. Therefore, detailed microbial profiles and antibiotic susceptibility testing are necessary for the prevention of pathogens and effective treatment.
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