BACTERIOLOGICAL STUDY OF VENTILATOR-ASSOCIATED PNEUMONIA IN A TERTIARY CARE HOSPITAL.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 2
Abstract
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection diagnosed in the intensive care units (ICUs). Microorganisms responsible for ventilator associated pneumonia vary from place to place. VAP requires a rapid diagnosis and initiation of the antibiotic treatment.The present study was carried out to detect bacteria commonly associated with VAP and determine their susceptibility patterns including beta-lactamases production. Out of a total 1438 patients intubated for more than 48 hours, 302 patients (21.0%) were clinically diagnosed as VAP cases. The VAP rate was found to be 2.06 cases per 1000 ventilator days. A. baumannii (38.11%), P. aeruginosa (26.74%), K. pneumoniae (14.85%), S.aureus (11.38%), E. coli (3.96%), C. freundii (1.98%), A. lwoffi (1.98%) and P. mirabilis (0.99%) were isolated. Amongst the gram negative isolates, 15.64% were ESBL, 11.73% were AmpC and 13.96% were MBL producers. Early diagnosis of VAP along with their sensitivity pattern will help as an epidemiological marker for initial prophylaxis and treatment planning for mechanically ventilated patients.
Authors and Affiliations
Trupti D. Satpute
Keywords
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- EP ID EP279394
- DOI 10.21474/IJAR01/6616
- Views 87
- Downloads 0
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