Background: Ventilator-associated pneumonia [VAP] is the most common intensive care unit acquired infection, and it is associated with increase in hospitalization, health care cost and mortality.
It classified into early onset or late onset Objectives: Measure the incidence rate and risk factors of VAP, measure the VAP impact on length of stay in ICU and duration of mechanical ventilation and to measure adherence to IHI [institute of health improvement] ventilator bundle
Methods: A prospective study conducted at surgery hospital ICUs. All ventilated patients who didn't developed chest infections after 48h of mechanical ventilation are followed until discharge from ICU Results: 56.2% of the study population was males;the mean age was 43.2+ 15.6. Incidence density was 38.3per 1000 ventilation day. Early onset VAP was 47.5% and late onset VAP was 52.5%. The independent risk factors of VAP infection are age >/= 60 years, duration of mechanical ventilation, smoking, chest diseases, insertion of IV cannula and APACHE II score. Crude mortality rate was 42.1%. VAP infection has a significant impact on both the length of stay in ICU and duration of mechanical ventilation. VAP cases have lower adherence to all IHI ventilator bundle elements and the overall compliance was 71+/- 22.8 in VAP cases versus 80.7+/-16.0 in non VAP. Gram negative MDRs bacteria were isolated in 84.3% of VAP cases. The commonest isolated bacteria was Acintobacter [33.9%]
Conclusion: VAP is a serious ICU acquired infection with significant impact and required effective preventive action
Rasha S. Hussein ,Rasha S. Hussein ,Sally Adel Hakim ,Ghada O. Wassef ,Aisha M. Aboul Foutoh ,Samia I Damaty ,
Epidemiology of ventilator associated pneumonia in hospital surgery intensive care units of Ain shams university hospital,
Egypt. J. Community Med. 2017;
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