BACTERIOLOGICAL PROFILE OF VENTILATOR ASSOCIATED PNEUMONIA IN A TERTIARY CARE CENTRE OF DAKSHINA KANNADA DIST.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 80
Abstract
BACKGROUND Mechanical ventilation can increase the risk of VAP 7 - 21 times and 10% - 25% of patients undergoing mechanical ventilation develop pneumonia. The aetiological agents of VAP vary with different patient populations and types of ICUs. Prompt administration of appropriate antibiotics seems to be the only intervention that alters outcome once the diagnosis is established. MATERIALS AND METHODS This is a descriptive study with seventy-four non-repetitive endotracheal aspirate from patients who were on mechanical ventilation for more than 48 hrs. and in whom ventilator associated pneumonia was suspected using modified CPIS score and quantitative culture was confirmed using modified two-fold dilution scheme. Kirby-Bauer disk diffusion method was adopted for antimicrobial susceptibility testing. RESULTS The most common isolate was pseudomonas aeruginosa (27%) followed by Acinetobacter spp. (20.3%), Klebsiella spp. (16.2%) and E. coli (12%). Among gram positive bacteria in our study, only Staphylococcus aureus (9.5%) was isolated. Amikacin and levofloxacin were found to be better against non-fermenters; 10% were carbapenemase producers, MDR isolates were observed in enterobacteriaceae members. MRSA was found in 28.6%. CONCLUSION In conclusion, the incidence of VAP and the prevalence of multidrug resistant microorganisms were quite high in our ICU setup. A local surveillance program at each centre is essential, as the knowledge of local resistant patterns is vital for selecting the appropriate agents for treating infections
Authors and Affiliations
Sateesh K, Sathya Anandam, Vidya Pai
Keywords
Related Articles
- EP ID EP268172
- DOI 10.14260/jemds/2017/1228
- Views 109
- Downloads 0
A COMPARATIVE STUDY OF HAEMODYNAMIC EFFECTS AND INTUBATION CONDITIONS OF ROCURONIUM BROMIDE VERSUS SUXAMETHONIUM
BACKGROUND Suxamethonium chloride was a time-tested depolarising muscle relaxant with quick onset of action and produced excellent intubating conditions, but it is contraindicated and hazardous in certain situations. Roc...
A RARE CASE OF DELAYED PRESENTATION OF CAECAL AND ASCENDING COLON PERFORATION FOLLOWING BLUNT TRAUMA ABDOMEN
PRESENTATION OF CASE A twenty-year-old male patient presented in surgical emergency with history of blunt trauma to abdomen two weeks ago. The patient’s only complaint was a vague abdominal pain after trauma, and he di...
A RARE CASE OF DEBILITATING HEADACHE AND ANAPLASTIC OLIGOASTROCYTOMA OF FRONTAL LOBE
PRESENTATION OF CASE A 25-year-old female patient from Mandya, Karnataka came to Ophthalmology OPD at Vasan Eye Care, Bangalore. Complaint of headache since one month. Headache initially was bi-frontal then gradually bec...
AWARENESS OF HAND WASHING AMONG HOUSE-SURGEONS OF GOVERNMENT GENERAL HOSPITAL, VIJAYAWADA
[b]BACKGROUND: [/b]The disease burden contributed by health care associated infections (HCAI) is not negligible. The occurrence of HCAI can be substantially reduced by a simple procedure like hand washing. [b]OBJECTI...
MANAGEMENT OF JUXTA-ARTICULAR FRACTURES OF TIBIA MANAGED WITH HYBRID EXTERNAL FIXATOR
BACKGROUND Juxta-articular fractures of tibia are most serious and complicated injuries, which are found to be very difficult to fix and manage. These types of fractures usually occur due to RTA and fall from height; ult...