Ventilator Associated Pneumonia in a Tertiary Care Hospital: Incidence, Risk Factors and Etiological Agents
Nahla Y. Sahlo, Lamiaa A. Madkour, Youssef M. Soliman
Microbiology Research Journal International · pp. 1–10 · Published 14 Feb 2016
10.9734/BMRJ/2016/24360Abstract
Aims: With an escalating mortality rate reaching 50%, ventilator associated pneumonia (VAP) continues to pose an enormous threat to ICU patients worldwide. Study Design: Prospective cohort study. Place and Duration: The study was conducted from March 2014 through February 2015 at Kasralainy University Hospital. Hundred patients who were on Mechanical Ventilation (MV) for more than 48 hours were monitored for the development of VAP. Methodology: We endeavored to identify the incidence, risk factors, and the most common etiological pathogens of VAP in ICU patients. Results: Out of the 100 enrolled patients, 34 patients developed VAP. With univariate analysis, it was proven that the duration of MV and trauma were significant risk factors for VAP. The most common isolated pathogens were Klebsiella, Pseudomonas, and Acinetobacter. Alarmingly, 89.8% of the isolated organisms were multi-drug resistant (MDR). Conclusion: The duration of MV has to be reduced to minimize the incidence and morbidity associated with VAP. Likewise, unnecessary prolonged hospitalization should be avoided. The choice of antibiotics should be judicial and guided by sensitivity patterns of the pathogens. These predictors, however, need further work to validate reliability.
References (32)
- 1 Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance [DOI]
- 2 THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION [DOI]
- 3 The American Journal of Respiratory and Critical Care Medicine
- 4 Epidemiology and Outcomes of Ventilator-Associated Pneumonia in a Large US Database [DOI]
- 5 Nosocomial pneumonia in ventilated patients: A cohort study evaluating attributable mortality and hospital stay [DOI]
- 6 Clinical and economic consequences of ventilator-associated pneumonia: A systematic review [DOI]
- 7 Nosocomial Respiratory Infections with Gram-Negative Bacilli [DOI]
- 8 Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention [DOI]
- 9 Impact of Previous Antimicrobial Therapy on the Etiology and Outcome of Ventilator-associated Pneumonia [DOI]
- 10 Journal Of Trauma And Acute Care Surgery [DOI]
- 11 Journal of Cardiothoracic and Vascular Anesthesia [DOI]
- 12 The Role of Anaerobes in Patients With Ventilator-associated Pneumonia and Aspiration Pneumonia [DOI]
- 13 Incidence, risk factors, and outcome of ventilator-associated pneumonia [DOI]
- 14 Ventilator-associated pneumonia in a tertiary care hospital in India: incidence and risk factors [DOI]
- 15 Risk Factors for Nosocomial Pneumonia: Comparing Adult Critical-Care Populations [DOI]
- 16 Ventilator-associated pneumonia: Incidence, risk factors, outcome, and microbiology [DOI]
- 17 Quantitative Culture of Endotracheal Aspirates in the Diagnosis of Ventilator-Associated Pneumonia in Patients With Treatment Failure [DOI]
- 18 A study of ventilator-associated pneumonia: Incidence, outcome, risk factors and measures to be taken for prevention [DOI]
- 19 Incidence of multidrug-resistant organisms causing ventilator-associated pneumonia in a tertiary care hospital: A nine months′ prospective study [DOI]
- 20 Tetracyclines for treating multidrug-resistant Acinetobacter baumannii ventilator-associated pneumonia [DOI]
- 21 Microbial Profile of Early and Late Onset Ventilator Associated Pneumonia in The Intensive Care Unit of A Tertiary Care Hospital in Bangalore, India [DOI]
- 22 Incidence, clinical outcome, and risk stratification of ventilator-associated pneumonia-a prospective cohort study [DOI]
- 23 Ventilator-associated pneumonia [DOI]
- 24 Epidemiology and outcomes of ventilator-associated pneumonia in northern Brazil: an analytical descriptive prospective cohort study [DOI]
- 25 The Standardization of Criteria for Processing and Interpreting Laboratory Specimens in Patients With Suspected Ventilator-Associated Pneumonia [DOI]
- 26 Efficacy of Bilateral Bronchoalveolar Lavage for Diagnosis of Ventilator-Associated Pneumonia [DOI]
- 27 Ventilator-associated pneumonia in surgical emergency intensive care unit [DOI]
- 28 A clinico-microbiological study of ventilator-associated pneumonia in a tertiary care hospital
- 29 Respiratory nosocomial infections in the medical intensive care unit [DOI]
- 30 The Importance of Oral Hygiene in Prevention of Ventilator-Associated Pneumonia (VAP): A Literature Review
- 31 Nosocomial pneumonia in the medical and surgical patient: Risk Factors and Primary Management [DOI]
- 32 A Decade of Experience with Selective Decontamination of the Digestive Tract as Prophylaxis for Infections in Patients in the Intensive Care Unit: What Have We Learned? [DOI]
Cited by 5
Sahar El-Sayed, Amal Khalil, Rehab Elkazaz · Port Said Scientific Journal of Nursing · 2023
F. Amin, Omayma Abu Samra, Josephin A. Lawend · Tanta Scientific Nursing Journal · 2021
Safaa Abdel Fattah Abou Zed, A. Mohammed · Journal of Nursing Education and Practice · 2019
Sami M. Aloush · Nursing Critical Care · 2018
Mousa Mohamed Mousa, El-Shamly Yousry, Z. Aly
Related research
- Oesophageal Foreign Bodies Impaction in Nigerian Adults: A Preventable Consequence — shares topic coverage
- Epidemiological Analysis of Infective Endocarditis at the Gold Coast Area Health Service, Australia — shares topic coverage
- Reproductive Factors Associated with the Risk of Breast Cancer among Malaysian Women: A Multi-Centre Case-Control Study — shares topic coverage
- Analysis of Risk Factors among Diabetic Patients Visiting Diabetic Research Clinic at Nishtar Hospital Multan-Pakistan — shares topic coverage
- Seroprevalence of Helicobacter pylori Ig G Antibody and Risk Factors in Hypertensive Patients at Dschang District Hospital in Cameroon — shares topic coverage
Article metrics
Real usage data collected on this platform.
41
Page views
0
PDF downloads
4
Outbound clicks
5
Citations
Views over time
Views by country
Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".
Traffic sources
Referring site, by host.
Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.