INCIDENCE OF VENTILATOR ASSOCIATED PNEUMONIA
Journal Title: International Journal of Medical and Clinical Research - Year 2010, Vol 1, Issue 2
Abstract
Background: The development of VAP is also associated with greater hospital mortality rates and longer lengths of stay in Intensive Care Unit (ICU) and hospitals. A prospective study was conducted to find out the incidence of VAP and to identify the most prevalent pathogens causing VAP. The study was conducted during the period of September 2008 to March 2009 at ICU of Narayana Medical College and General Hospital. The endotracheal aspirates were collected andtransported to microbiology laboratory within 15 minutes, where they were processed and cultured as per the standard protocol and standard microscopic examinations were conducted. Statistical analysis was performed using SPSS 11.0 and Systat 8.0. Out of the 100 patients studied, 29 were found to have VAP. Among these patients, 32% were reported to have hypertension, 29% were reported to have diabetes and 12% had both diabetes and hypertension. Gram negative organisms were predominant among the isolates accounting for 89%. The rest were found to be gram positive organisms. Among gram negative organisms, Pseudomonas species, Klebsiella species and E.coli were responsible for highest number of VAP infections. The range of bacteria that cause VAP and their susceptibility patterns vary widely among hospitals and selection of initial antimicrobial therapy need to be tailored to each institution’s local patterns of antimicrobial resistance.
Authors and Affiliations
C. Chandrakanth, Anushree . , A. Vinod
Keywords
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- EP ID EP170019
- DOI 10.9735/0976-5530.1.2.11-13
- Views 80
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