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 |
Nosocomial infections are a critical issue among intubated patients. Respiratory tract infection in relation to intubation and/ or mechanical ventilation has been reported to vary from 4% to 28% and this rate has been thought to be 21 times higher than in patients without endotracheal tube. The aim of our study was to identify the pathogens isolated from culture of endotracheal tube aspirates and determine their antibiogram. Patients on mechanical ventilation (MV) for >48 h in the intensive care units (ICU), critical care unit (CCU), PICU and NICU were included in this study. All the endotracheal aspirate samples were transported to the Microbiology laboratory for culture and sensitivity testing. In our study we observed a total of 101 ETAs culture positive isolates. The most common micro-organism was Klebseilla pneumoniae 28 (27%) and in Gram positive it was CONS 12 (12%). The highest resistance was found in 3rd generation cephalosporins and Penicillin group antibiotics, the least in carbapenems and polymyxin B. The key is early identification of the causative microbial agents, antibiotic sensitivity and administration of selected antibiotics. Our observations provide useful information regarding such respiratory infection. Thus ET tip cultures could be useful adjunct to the ATS strategy for ensuring appropriate treatment of intubated patients and in context of a bundled approach to the prevention of ET tip infections.
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