Ventilator-associated pneumonia: Study of clinical outcome

Johnson, Saumy and Jose, Nybin and Sebin, * and Vaidya, Abhishek (2015) Ventilator-associated pneumonia: Study of clinical outcome. Indian Journal of Respiratory Care, 4 (1). pp. 588-590.

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Introduction: Ventilator-associated pneumonia (VAP) is a nosocomial pneumonia that develops within 48 hours or more of mechanical ventilation. It is also associated with significant morbidity including increased ventilatory days, intensive care unit (ICU) stay and higher medical cost that leads to high mortality rate in ICU. Aim: To evaluate the clinical outcome of the patients diagnosed with VAP and also to identify the risk factors for VAP. Methodology: This retrospective study included 27 patients admitted in Medical and casualty ICU’s from August 2013 to April 2014 who were diagnosed with various diseases and later developed VAP. The patient’s demographic data and diagnosis based on Centres for Disease Control and prevention (CDC) criteria were collected. Results: Among 27 patients, 20 were male patients and 7 were female patients. The order of organism according to the frequency in the current study was found to be Acinectobacter, Klebsiella, Pseudomonas aeruginosa, methicillin resistant Staphylococcus aureus, Streptococcus pneumonia, Hemophilus influenza, Enterobacter sp. Twenty two patients had late onset VAP and five patients had early onset VAP. Overall the survival was 52%. Conclusion: The incidence and the mortality of VAP are high in the current ICU setup. The mortality rate in the current study was 48% and the patients who survived had a longer ICU stay due to ventilator dependence.

Item Type: Article
Uncontrolled Keywords: Mechanical ventilation; ventilator-associated pneumonia.
Subjects: Allied Health > MCOAHS Manipal > Respiratory Therapy
Depositing User: KMC Manipal
Date Deposited: 24 Feb 2015 05:12
Last Modified: 24 Feb 2015 05:12

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