Impact of Ventilator Associated Pneumonia in Hospitalized Children in A Tertiary Care Center In Western Rajasthan
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Objectives : To determine the impact of ventilator-associated pneumonia in Pediatric intensive care unit and Neonatal intensive care unit patients. Methods : Patients aged between 0-14 years admitted in Intensive Care Unit (NICU/PICU) or transferred to these units from pediatric wards for any medical conditions/complication and kept on mechanical ventilation for >48 hours. Study was conducted in the Department of Pediatrics, Sardar Patel Medical College and P.B.M Hospital Bikaner. Study duration was12 months (August 2016 to July 2017). Sample size was calculated to be 145 mechanically ventilated patients. For the diagnosis of VAP Criteria of Centers for Disease Control and Prevention (CDC) was used. Results: Out of total 145 ventilated patients, VAP occurred in 44.9% males and 42.9% females. Overall mortality in ventilated patients was 57.9%. 74.4% mortality was observed in VAP group as compared to 50.8% in ventilated neonates who did not develop VAP (p=0.016) while 71.4% mortality was observed in VAP group as compared to 33.3% in Non VAP group (p=0.010) in PICU. VAP significantly increased mean duration of hospital stay (24.884.05 days) as compared to 16.951.29 days in Non VAP group.VAP significantly increased mean duration of stay on ventilator as compared to patients who did not develop VAP. (3.67 1.36 v/s 4.67 1.92 days). Conclusion: VAP is a serious and potentially lethal complication in patients on mechanical ventilation.VAP significantly increased the mortality, duration of stay on ventilator and duration of stay in hospital.
Authors and Affiliations
Dr. Vivek Parihar
Keywords
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