Ventilator Associated Pneumonia in a tertiary care hospital in South India

Dr Manaswini Das; Dr U Sreenivasa Rao; Dr S Subbarayudu; Dr Deeganta Mohanty

Volume : VI, Issue : XI, November - 2016

Ventilator Associated Pneumonia in a tertiary care hospital in South India

Dr Manaswini Das, Dr U Sreenivasa Rao, Dr S Subbarayudu, Dr Deeganta Mohanty

Abstract :

T Introduction Ventilator– associated pneumonia (VAP) is one of the most common nosocomial infections in mechanically ventilated patients and causes a lot of morbidity and mortality. The aim of the study was to determine the bacterial causes of VAP in an intensive care unit (ICU) of a tertiary care hospital. Materials and Methods Endotracheal aspirates and onchoalveolar lavage samples were collected from patients who were under mechanical ventilation for > 48 h in the ICU. Microscopy and culture were performed and the isolates were subjected to biochemical and antibiotic sensitivity tests. Results The incidence of VAP in our setting was found to be 42%. More patients (64.29%) were found to be in the late–onset VAP group (VAP after > 4 days of mechanical ventilation). Males (69.04%) were found to suffer more from VAP. Most of the bacterial isolates were found to be Gram negative bacilli (86.54%). Conclusions VAP is a potentially lethal condition in the ICU patients. A combination of clinical, microbiological and radiological factors will help to manage and prevent these cases