Ventilator-associated pneumonia (VAP)-An overview
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
Patients in the intensive care unit (ICU) are at increase risk for dying not only from their critical illness but also from secondary processes such as nosocomial pneumonia. Pneumonia is most common infection in ICU compared with those in hospital wards and risk of pneumonia increases considerably in patients on mechanical ventilation were it termed as Ventilator-associated pneumonia (VAP).Ventilator-associated pneumonia represents a major health problem not only in terms of excess morbidity, mortality and personal distress but also contribute to significant economic loss. The incidence of VAP ranges from 10-65% depending on the definitions ,severity of illness ,type of patients studied, type of ICU/or hospital, prophylactic antibiotics administration, the techniques, and criteria used for diagnosis and can reach 78% in some specific settings or when lung infection is caused by high risk pathogens. The predominant organisms responsible for infection are Staphylococcus aureus, Pseudomonas aeruginosa, and Enterobacteriaceae, but etiologic agents widely differ according to the population of patients in an intensive care unit, duration of hospital stay, and prior antimicrobial therapy .Choosing appropriate therapy for VAP include knowledge of organisms likely to be present, local resistance patterns within the ICU, a rational antibiotic regimen, and a rationale for antibiotic de-escalation or stoppage. Keywords: Intensive care unit (ICU); nosocomial infection; ventilator-associated pneumonia (VAP)
Authors and Affiliations
Dr. Kotgire. Santosh. A
Keywords
Related Articles
- EP ID EP371250
- DOI -
- Views 85
- Downloads 0
Antimicrobial and antioxidant activity of seed extracts of Croton zambesicus Muell. Arg
The seed extracts of Croton zambesicus Muell. Arg. were screened for antimicrobial activity against some typed and pure cultures of bacterial and fungal species. These were carried out by the cup plate agar diffusion met...
Clinical analysis on Gall Bladder Disease Cholecystitis and Cholelitheasis
Cholecystitis is a recurrent problem, a disease of hepatoBiliary system. The risk factor, predispositioning for gall bladder disease includes obesity, DM, oestrogen and pregnancy, hemolytic disease and cirrohotic liver d...
Bedside Diagnosis of Minimal Hepatic Encephalopathy in Patients with Cirrhosis
Abstract: Minimal hepatic encephalopathy (MHE) is a condition in which patients with cirrhosis of liver that has normal mental and neurological status on standard clinical examination , exhibit a numbe...
Early Renal Dysfunction is Associated with Exposure to Petroleum Products in Petroleum Stations Workers at Khartoum State –Sudan
Abstract: Petrol and its derivatives are the most important sources of energy in the world, and they have many benefits and uses however they have hematological and biochemical adverse effects on human health. The primar...
Peripheral Nerve Injuries Following Cardiac Surgery: A Neglected Side Effect
Abstract: In recent years, peripheral nerve injury is a relatively few complication after cardiac surgery. We investigated that peripheral nerve injuries were retrospectively assessed in the results of the patients who u...