National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Ventilator-Associated Pneumonia (VAP) is an important hospital-acquired infection with substantial mortality. Only a few studies are available from India addressing the microbiological aspects of VAP, which have been done with small study populations. The study was carried out in the intensive care units (ICUs) of a tertiary care hospital to assess the profile of pathogens and to determine the pattern of antimicrobial resistance. This was a retrospective study of clinically suspected cases of VAP. Over a one year period, a total of 50 cases were subjected from 2017 – 2018 in ICUs on mechanical ventilation with clinical evidence of VAP were included in our study. Sputum, Endotracheal aspirate and broncho-alveolar lavage samples which were collected and sent to microbiology lab for culture were analysed in our study. The common isolates and their antimicrobial susceptibility pattern were analysed in detail. On statistical analysis, male patients were more prone to develop Ventilator Associated Pneumonia infection than female patients. Also patients of age group 51 years and more were found to be most commonly affected because of their associated co-morbid conditions. Among the bacterial isolates Klebsiella pneumoniae was predominant followed by Acinetobacter baumanii. Among fungal agents Candida albicans was found to be the most common agent, but isolated in a very minimal number. VAP shows a significant increase in morbidity and mortality now a days. Increased numbers noted in intensive care units. The incidence of multidrug resistant pathogens was on the rise. The resistance pattern of these pathogens can help an institution to formulate effective antimicrobial policies. To have a comprehensive pan-India picture, multicentric studies are needed.
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