National Academy of Agricultural Sciences (NAAS)
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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 2018: 95.39 NAAS RATING 2020: 5.38 |
Ventilator associated pneumonia is a Hospital acquired pneumonia that develops exclusively in patients undergoing mechanical ventilation. This study was conducted to find the incidence and Risk factors of VAP and the outcome of the patients developing VAP .The study was conducted over a period of 3 months in Intensive Care Units (Pediatric ICU, Surgical ICU, Medical ICU) of SRM Medical College Hospital. A total of 30 patients who were kept on mechanical ventilator were randomly selected. Gram staining and bacterial culture and sensitivity was done. Out of 30 patients, 17 patients developed VAI. The risk factors significantly associated with VAI in our study was found to be the duration of mechanical ventilation, advanced age, associated disease like Diabetes mellitus and the level of consciousness of the patient. The most common organism isolated in our study was Acinetobacter spp. The incidence of early-onset VAP (within 96 h) was found to be 27% while the late-onset VAP (>96 h) was 73%. Late-onset had poor prognosis in terms of mortality (66%) as compared to the early-onset type (20%). In conclusion, the incidence of Ventilator associated infection was directly proportional to increased duration of mechanical ventilation. Late-onset Ventilator associated infections were multidrug resistant associated with poor prognosis and increased mortality as compared to the early-onset variety.
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