THE INCIDENCE AND RISK FACTORS FOR VENTILATOR ASSOCIATED PNEUMONIA (VAP) IN CRITICAL CARE UNIT

Abstract

Ventilator associated pneumonia (VAP) is a kind of nosocomial pneumonia which happens in patients who get mechanical ventilation (MV) through tracheal or tracheotomy tube. Ventilator related pneumonia remains as a significant reason for hospital mortality and morbidity. Methods-An observational study was conducted after obtaining ethical approval from Institutional ethics committee. And informed consent obtained from the patients’ relatives before putting on ventilator. The study conducted in a seventeen beded grown-up CCU of Krishna Hospital, a 950 bedded University Hospital. Over the span three months, beginning from June 2019 till September 2019, 100 patients were intubated for mechanical ventilation. Out of them, 30 patients were selected. Results- among 30 patients, 9 (30%) of them were in the age group 18-35 years, 15 (50%) of them were males and 19 (63.3%) of them were staying in hospital from 10-20, 13 (43.3%) of them were on mechanical ventilation for 8-10 days, 14 (46.7%) of them were conscious, the incidence rate came out to be 13.3%. And VAP rate per 1000 came out to be 14.44.The analysis revealed that no significant association was found for any of the demographic variables with incidence of VAP (p >0.05).Conclusion- VAP, a significant nosocomial infection among the fundamentally sick patients, requires intentional investigation to decrease mortality. Great information on VAP and its related parameters is significant. In spite of the little example size which is a constraint of our investigation, our discoveries stress the significance of the few hazard factors for VAP. Further investigations on rate and hazard elements can encourage information interpretation exercises about the illness and along these lines limit the event of VAP through the implementation of basic, ease preventive measures. Mindfulness about the different hazard variables will help in decrease of the horribleness and mortality related with VAP.