Clinical profile of children with ventilator associated pneumonia
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 7, Issue 2
Abstract
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit and is associated with major morbidity and attributable mortality. Strategies to prevent VAP are likely to be successful only if based upon a sound understanding of pathogenesis and epidemiology. The major route for acquiring VAP is oropharyngeal colonization by the endogenous flora or by pathogens acquired exogenously from the intensive care unit environment, especially the hands or apparel of health-care workers, ontaminated respiratory equipment, hospital water, or air. All children who are admitted in PICU and mechanically ventilated for more than 48 hours as per definition in inclusion criteria are investigated clinically, radiologically and bacteriologically to determine presence of pneumonia and isolate causative microorganism. The study also considered the presence of comorbid conditions like CP, CHD, hematological disorders, SEIZURE disorders. Hundred and five (70%) patients had abnormal initial findings in Chest X ray, fresh (>48 hours of M/V) infiltrates in chest x ray were seen in 67(44.75%) patients. In present study sixty four (42.7%) patients developed VAP with similar percentage of male and female patients.
Authors and Affiliations
Shashikant 1, Manoj G M
Keywords
Related Articles
- EP ID EP414065
- DOI -
- Views 236
- Downloads 0
A rare case of Pyruvate Kinase deficiency
A 7 months old female child brought to us with complaints of abdominal distention and increased pallor since one month. Child also had failure to thrive and developmental delay. On examination, had severe pallor with hep...
Comparison and correlation between serum bilirubin and transcutaneous bilirubin in NICU Bidar
Background: Hyperbilirubinemia is one of the most common problem in neonates. An estimation of the bilirubin value is essential for decision making in jaundiced babies. Transcutaneous bilirubin screening is a quick, non...
Correlation of clinical variables with hypoxic ischemic encephalopathy stages
Background: The fetus with significant hypoxia episode is at risk of developing HIE and it may result in neonatal death or permanent motor and mental disability. Various epidemiologic studies have identified adverse soci...
Simple anthropometric measurements to predict birth weight: A clinical study
Background: Of the approximately four million global neonatal deaths that occur annually, 98% occur in developing countries, where most newborns die at home while they are being cared by mothers, relatives, and tradition...
Rickettsial fever in paediatric patients: Clinical profile and laboratory investigations
Background: Rickettsial infections are the most covert re-emerging infections in present times. Initial diagnosis and treatment should be based on a high index of suspicion and appropriate clinical features. Aim: To know...