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IP Indian Journal of Immunology and Respiratory Medicine


Ventilator - Associated Pneumonia in Paediatric Intensive Care Unit at the Indira Gandhi Institute of Child Health


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Author Details: S. Mahantesh, J. Bhavana, GV Basavaraj, Sist Elsamma Yohonnan

Volume : 2

Issue : 2

Online ISSN : 2581-4222

Print ISSN : 2581-4214

Article First Page : 36

Article End Page : 41


Abstract

Introduction: This is prospective study undertaken at the PICU of Indira Gandhi Institute of Child health to assess the risk factors causative organisms and outcome of paediatric Ventilator-Associated Pneumonia (VAP).
Materials and Method: A total of 1079 patients who received Mechanical Ventilation (MV) were included in this prospective study during the period from January 2015 till September 2016. Cases were defined as VAP as per CDC guidelines. The causative organisms were isolated and identified along with their antibiogram. The clinical details and prognosis was noted of each patient until discharge or death.
Results: VAP was detected in 74 patients among 1079 ventilated patients. VAP rate was 6.85 %, incidence density was 16.04. Gram negative bacteria was most frequent causative organism, Acinetobacter was the common causative 46 (62.1%); Pseudomonas aeroginousa 23(31%); Klebsiella 17 (22.97%); Enterobacter 10 (13.51%); E. coli 3(4 %) and Citrobacter in 2 (2.7%). Staphylococcus aureus and Candida were isolated in 1 sample each. Polymicrobial infection in 23 cases. Most of the isolates were multidrug resistant. The mortality rate was 28.38%.
Conclusions: Identification of risk factors, causative organisms along with their antibiotic sensitivity pattern and outcome of patients with VAP in PICUs may help in reducing the incidence. This shall further help in formulating better Hospital infection control Policies and practices in the Paediatric intensive care unit.

Keywords:
Hospital acquired infection; Mechanical ventilation; Paediatric intensive care; Ventilator associated pneumonia

Doi No:-10.18231