Surveillance of ventilatorassociatedpneumonia (VAP) in Pediatric Intensive Care Unit (PICU) at a tertiary care teaching hospital from Central India

Dr.Vaishali Rahangdale; Dr.Sandeep  Kokate; Dr. V.J .Katkar

Volume : VI, Issue : IV, April - 2017

Surveillance of ventilatorassociatedpneumonia (VAP) in Pediatric Intensive Care Unit (PICU) at a tertiary care teaching hospital from Central India

Dr. Vaishali Rahangdale, Dr. Sandeep Kokate, Dr. V. J . Katkar

Abstract :

Introduction:

Pneumonia associated with mechanical ventilation is one of the most important causes of nosocomial infections in paediatric intensive care units . Despite advances in patient care, changing tracheal floras complicate therapy by acquiring drug resistance.

Methods – The tracheal secretions of patients on mechanical ventilation from Paediatric–Intensive–Care– received in Microbiology laboratory were processed by standard bacteriological techniques. The correlation between the organisms isolated from tracheal secretions & organisms causing VAP were studied.

Results : Out of 104 tracheal secretions, 82 (78.84%) showed the bacterial growth.The with most common organism isolated from tracheal secretion of VAP patients was pseudomonas aeruginosa. A VAP rate of 8.65 % or 17.34 per 1000 ventilator days was found. Approximately12– 50% Gram negative bacilli were Multi drug resistant.

Conclusion– We hope present observation would be helpful in providing useful guidelines for initiation of therapy in patients suspected of developing VAP.