A Clinical Study of 50 Cases of Ventilator Associated Pneumonia

Clinical Study of 50 Cases of Ventilator Associated Pneumonia

Abstract

Ventilator Associated Pneumonia (VAP) is a major threat to the recovery of patients receiving Mechanical Ventilation (MV) and is one of the most common ICU-acquired infection in mechanically ventilated patients.VAP is a common complication in Intensive Care Units (ICUs); occurring in 8-28% of patients mechanically ventilated for longer than 48 hours. Objectives: To study the incidence and crude mortality rate, to evaluate and study the clinical profile of the patients having VAP and to study the role of modified baseline CPIS in the diagnosis of VAP. Methodology: The present study was carried out in a teaching tertiary care hospital. All patients above 15 year age, receiving MV for more than 48 hours at ICU with clinical suspicion of VAP were evaluated. Results-In the present study, out of 50 patients, maximum no. of patients were in 4th to 6th decades of life (62%). The youngest patient was of 16 years, while the eldest one was of 72 years. Patients belonging to pediatric age group were excluded in the present study. Majority (74%) of the patients were males. 26% of the patients were females. In the present study, Incidence of VAP is 21% and crude mortality rate is 42%.Mortality in late onset VAP (50%) was found to be twice as compared to mortality in early onset VAP (25%).Mortality in inappropriately treated patients (61.11%) was significantly higher than that of appropriately treated patients (31.25%).