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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2019)
[Effective from January 1, 2019]
For more details click here

ICV 2017: 100.00
Index Copernicus ICI Journals Master List 2017 - IJCMAS--ICV 2017: 100.00
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2017: 100.00
NAAS RATING 2018: 5.38

Int.J.Curr.Microbiol.App.Sci.2019.8(10): 2080-2089
DOI: https://doi.org/10.20546/ijcmas.2019.810.242


Finding the Incidence of Ventilator Associated Pneumonia by Recent NHSN Guidelines and Its Bacteriological Profile: A Study Conducted in a Tertiary Care Hospital in Southern India
Sadiya Fatima1*, S. Rajeshwar Rao2, V.V. Shailaja3 and K. Nagamani4
Department of Microbiology, Gandhi Medical College and Hospital, Secunderabad,
Telangana, India
*Corresponding author
Abstract:

Ventilator associated pneumonia is the second most common nosocomial infection in the intensive care unit (ICU) and the most common in mechanically ventilated patients. The present study was undertaken to elucidate the bacteriological profile causing VAP in our institution and finding its incidence by recent NHSN guidelines. Study was conducted for 1 year study period (June 2017- May 2018). All the patients were monitored from the time of inclusion in the study for the entire duration of the hospital stay. Relevant details of the patients were included in the study in a structured proforma and surveyed for possible VAP as per the recent NHSN guidelines. Gram stain and semi-quantitative cultures of Purulent Endotracheal aspirates of patients were processed as per standard protocols. The clinical isolates obtained were identified by both conventional and automated methods. Among 104 patients 31 developed PVAP (possible VAP) during their ICU stay; of these two patients had 2 episodes of VAP each, incidence of VAP was 32%. The overall incidence rate was 38.42 /1000VD. Most common isolate was Acinetobacter baumani (38%) followed by Pseudomonas aeruginosa (22%), Klebsiella pneumoniae (16%) and Escherichia coli (13.51%). The overall mortality was 48.38%. There is a need for compilation of local epidemiological data at all centers, as such information can help in guiding the initial empirical therapy which would reduce the ICU stay thereby the rate of VAP.


Keywords: Intensive care unit, Mechanical ventilation (MV), Ventilator associated event, Ventilator associated pneumonia
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How to cite this article:

Sadiya Fatima, S. Rajeshwar Rao, V.V. Shailaja and Nagamani, K. 2019. Finding the Incidence of Ventilator Associated Pneumonia by Recent NHSN Guidelines and Its Bacteriological Profile: A Study Conducted in a Tertiary Care Hospital in Southern India.Int.J.Curr.Microbiol.App.Sci. 8(10): 2080-2089. doi: https://doi.org/10.20546/ijcmas.2019.810.242