A Prospective Study on Incidence and Microbiological Profile of Ventilator Associated Pneumonia in the Intensive Care Unit of A Tertiary Care Centre
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 9
Abstract
Introduction: Ventilator Associated Pneumonia (VAP) contributes to approximately half of all cases of hospitalacquired pneumonia. The aim of the study was to review the incidence and assess the bacteriological profile of VAP patients. Material and Methods: This thirteen-month prospective study was conducted in the Intensive Care Unit (ICU) of a tertiary care hospital in Northern India. Patients aged more than 18 years and who were mechanically ventilated for more than 48 hours in the ICU were enrolled in the study. Patients who were intubated or on mechanical ventilation for more than twelve hours in areas outside the ICU, prior to admission, were excluded from the study. VAP was diagnosed by CPIS score and microbiological study of their sterile endotracheal aspirates. Results: The overall incidence of VAP was found to be 14.85% with 23.2 VAP episodes per 1000 ventilator days. The most predominant pathogen was found to be Acinetobacter species (48.21%). 48.21% isolates were Multi Drug Resistant (MDR) with Acinetobacter being the most common isolate. Conclusion: To conclude, VAP with MDR organisms affects a significant proportion of patients who are mechanically ventilated in the ICU.
Authors and Affiliations
Jubin John, Ashu Sara Mathai, Sara Mary Thomas, Arti Rajkumar
Keywords
Related Articles
- EP ID EP425227
- DOI -
- Views 84
- Downloads 0
Assessment of Cadmium, Lead and Mercury Levels on Petrol Attendants and Welders in Obio-Akpor and Phalga in Rivers State
Introduction: Heavy metals are naturally occurring elements with the characteristics features of a high atomic weight, density up to 5 times greater than that of water or even more, toxic or poisonous even at low concent...
A Retrospective Study of Wilms Tumour in Our Institute
Introduction: Wilms tumor (WT) accounting for 6-7% of all childhood cancers is the most common renal tumour in childhood. We conducted this study to review the outcome of multimodality treatment of Wilms’ tumor at our in...
A Randomized Control Study to Evaluate (0.25%) Bupivacaine and (0.5%) Ropivacaine for Post Operative Analgesia using Transversus Abdominis Plane Block (TAPB) in Lower Segment Caesarean Section
Introduction: Patient undergoing caesarean section suffer significant postoperative pain. Transversus Abdominis Plane Block is an effective method of providing postoperative analgesia in patient undergoing lower segment...
Psychiatric Morbidity in Infertile Women Undergoing Treatment at an IVF Centre
Introduction: Infertility in India is a growing phenomenon. Psychiatric conditions are important aspects in these women undergoing interventions. This study was undertaken to screen Indian Infertile women seeking treatme...
Thoracic Computed Tomography Imaging in Dengue Fever: A Tertiary Experience in South Indian Population
Introduction: Dengue fever is one of the most common acute vector-borne viral illnesses affecting mankind. Despite an abundance of case material world-wide, cross-sectional lungimaging data in patients with dengue is sca...