BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SENSITIVITY PATTERN OF VENTILATOR ASSOCIATED PNEUMONIA IN A TERTIARY CARE HOSPITAL

Sunil Bhargaw; Mohammed Nasir Khan; Dr. P.S. Nirwan

Volume : V, Issue : VII, July - 2016

BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SENSITIVITY PATTERN OF VENTILATOR ASSOCIATED PNEUMONIA IN A TERTIARY CARE HOSPITAL

Sunil Bhargaw, Mohammed Nasir Khan, Dr. P. S. Nirwan

Abstract :

 Introduction: Approximately, 86 % of nosocomial pneumonias are associated with mechanical ventilation and are known as ventilator associated pneumonia. The patients who are admitted in ICUs are always at threat of dying. This threat is not because of their critical illness but also from nosocomial infections. One fourth of critically ill patients get affected by nosocomial pneumonia. This is a real matter of concern for microbiologists and physicians. Material and method: This study is done for a period of six month, during this time a total of 50 patients were found to be associated with VAP after diagnosing clinically. Endotracheal aspirates and endotracheal tube tips after extubation were collected and processed. Results: The analysis of 50 patients showed the incidence of VAP to be 78% among the mechanically ventilated patients, out of which 46.15% had early–onset VAP and 53.85% had late–onset VAP. Klebsiella spp. (26.66%) followed by Escherichia coli (24.44%), were the most commonly isolated pathogens in both types of VAP. Conclusion: Prompt and early diagnosis of pneumonias would however be the mainstay in inging down mortality. Endotracheal aspirate and Endo tracheal tube samples have been found to be very useful in isolation of etiological agents and should be sent to the clinical microbiology lab as early as possible in a patient on mechanical ventilation more than 48 hours