VENTILATOR ASSOCIATED PNEUMONIA (VAP): MICROBIOLOGY AND ANTIBIOTIC SENSITIVITY PATTERN IN A TERTIARY CARE HOSPITAL

Dr Seema Solanki; Dr K. Saileela

Volume : III, Issue : X, October - 2014

VENTILATOR ASSOCIATED PNEUMONIA (VAP): MICROBIOLOGY AND ANTIBIOTIC SENSITIVITY PATTERN IN A TERTIARY CARE HOSPITAL

Dr Seema Solanki, Dr K. Saileela

Abstract :

Ventilator–associated pneumonia (VAP) is one of the commonest nosocomial infection occurring in mechanically ventilated patients in the intensive care unit (ICU). It occurs in 9% to 27% of patients receiving continuous mechanical ventilation. This prospective study was done for the period of one year to determine the etiological agents of VAP and assess their antibiotic susceptibility patterns. Semi–quantitative culture of endotracheal aspirates of ventilated patients was done. In our study, Incidence of VAP was found to be 33.47%. Among the causative agents, Pseudomonas spp (44.45%) and Klebsiella spp (22.22%) were found to be the commonest etiological agents in patients with VAP. The mortality rate in our study was 16.04%. Combined approaches of rotational antibiotic therapy and education program might be beneficial to fight against these MDR pathogens and will help to decrease the incidence of VAP