VENTILATOR-ASSOCIATED PNEUMONIA IN A TERTIARY CARE INTENSIVE CARE UNIT: RISK FACTORS AND MICROBIAL PROFILE
Journal: International Journal of Advanced Research (Vol.11, No. 05)Publication Date: 2023-05-31
Authors : Anupama S. Wyawahare Sai Wyawahare Manjushree Mulay Manjushree Mulay Manjushree Mulay Vishvesh Bansal Shraddha Naik; Anita Verulkar;
Page : 918-924
Keywords : Ventilatorassociatedpneumonia (VAP) Riskfactors Antimicrobialresistance;
Abstract
Forcreatingefficientpreventativestrategies,knowledgeoftheetiology,antibioticresistancepatternsandriskfactorsfordevelopingVentilatorassociatedpneumonia[VAP]inICUpatientsisessential.Thisprospectiveobservationalcross-sectionaltwo-yearstudywasdonetorecognizeriskfactorsforthedevelopmentofVAP,causalagentsandtheirantimicrobialsusceptibilitypattern.FiftylateonsetVAPand26earlyonsetVAPpatientswereexamined.Prolongedmechanicalventilation,reintubation,andtracheostomywereidentifiedasimportantriskfactors.AcinetobacterbaumanniicomplexKlebsiellapneumoniaewerethemainbacterialpathogens.TheideaofdifferentiatingpathogensbasedonlateandearlyonsetVAPmaynolongerbeusefulforempiricaltherapy.IdentifyingtheriskfactorscanaidinpreventionofVAPinICUpatients.
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