Incidence, microbiological profile and early outcomes of ventilator associated pneumonia in elderly in a Tertiary Care Hospital in India

The aim of our study was to determine the incidence, microbiological profile, risk factors and outcomes of patients diagnosed with ventilator-associated events in our tertiary care hospital. In this prospective study, intensive care patients put on mechanical ventilation for >48 h were enrolled and monitored daily for ventilator-associated event according to Disease Centre Control guidelines. A ventilator-associated event developed in 33/250 (13.2%); its incidence was 3.5/100 mechanical ventilation days. The device utilisation rate was 0.86, 36.4% of patients had early and 63.6% late-onset ventilator-associated pneumonia whose most common causative pathogen was Acinetobacter sp. (63.6%). Various factors were significantly associated with a ventilator-associated event: male gender, COPD, smoking, >2 underlying diseases, chronic kidney disease and elevated acute physiological and chronic health evaluation II scores. Therefore, stringent implementation of infection control measures is necessary to control ventilator-associated pneumonia in critical care units.

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Device-associated infection rates with microbiological profile and antibiogram pattern from an adult medical-surgical ICU of a tertiary care hospital

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2016.02.661 ◽

2016 ◽

Vol 45 ◽

pp. 300

Author(s):

B. Kashyap ◽

S. Gupta ◽

Y. Sarin

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Infection Rates ◽

Microbiological Profile ◽

Surgical Icu ◽

Device Associated Infection

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Study of Bacteriological Profile and Antibiogram in Patients with Ventilator Associated Pneumonia in an Intensive Care Unit of a Tertiary Care Hospital

Indian Journal of Medical Microbiology ◽

10.1016/j.ijmmb.2021.08.176 ◽

2021 ◽

Vol 39 ◽

pp. S51

Author(s):

Bushra Afreen ◽

Manoj kumar ◽

A.K. Sharma

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Ventilator Associated Pneumonia ◽

Care Hospital ◽

Bacteriological Profile

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Incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20183264 ◽

2018 ◽

Vol 6 (8) ◽

pp. 2754

Author(s):

David D. M. Rosario ◽

Anitha Sequeira

Keyword(s):

Mechanical Ventilation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Ventilator Associated Pneumonia ◽

Care Hospital ◽

Early Tracheostomy ◽

Hospital Acquired Infection ◽

Total Incidence ◽

Hospital Acquired Pneumonia ◽

Hospital Acquired

Background: Pneumonia is the most common hospital acquired infection in the intensive care unit. One of the causes for hospital acquired pneumonia is ventilator associated pneumonia. Tracheostomy is known to prevent occurrence of ventilator associated pneumonia as it decreases the respiratory dead space, assists in better clearance of secretions and prevents chances of aspiration. Generally, tracheostomy is done after 2 weeks of endotracheal intubation to prevent tracheal complications. The aim of this study is to identify the incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients and to see if early tracheostomy can prevent development of ventilator associated pneumonia.Methods: The study was conducted at a tertiary care hospital during a period of four years. 100 patients who were on mechanical ventilation for more than 7 days where taken up for the study. APACHE 4 scoring system was used. The incidence of Ventilator associated pneumonia in tracheostomised and non tracheostomised patients was studied.Results: In our study the total incidence of VAP was 44 %. In our study out of the 42 patients who had undergone tracheostomy 13 (30.95%) patients had ventilator associated pneumonia. Among the non-tracheostomised patients 31 (53.44%) out of 58 patients developed ventilator associated pneumonia. In our study the incidence of ventilator associated pneumonia was much lesser (12%) in patients who underwent tracheostomy in the period 7 to 10 days after mechanical ventilation, whereas in those who underwent tracheostomy after 11 days incidence of ventilator associated pneumonia was much higher.Conclusions: Our study showed that the incidence of ventilator associated pneumonia was much higher among non tracheostomised patients compared to patients who underwent tracheostomy. Hence patients undergoing earlier tracheostomy had a clear advantage than those undergoing tracheostomy late or non tracheostomised patients in preventing ventilator associated pneumonia.

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