English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Background: Ventilator-Associated Pneumonia (VAP) is a frequent nosocomial infection. The etiology of VAP varies with different patient populations and types of critical care settings. Materials & methods: This prospective observational study was conducted at the Coronary Care Unit (CCU) of Ibrahim Cardiac Hospital & Research Institute from April 2016 to November 2016. Demographic details and incidence of VAP was recorded and analysed by appropriate statistical tests. Results: 52 patients required mechanical ventilation, of whom 19 (36.5%) developed VAP. 15 (78.9%) had early VAP, while 4 (21.2%) had late VAP. CPIS, Modified CPIS and APACHE II Scoreall were significantly higher among those who developed VAP (p<0.01). The most frequent indication for intubation among those who developed VAP was type I respiratory failure (57.9%), type II respiratory failure (15.8%) and post-cardiac arrest (26.3%). Acinetobacter (31.6%) was the commonest organism isolated on tracheal aspirate, followed by Pseudomonas (21.05%), Candida (21.05%) and Klebsiella (10.5%). Acinetobacter, Klebsiella and MRSA were the organisms isolated from tracheal aspirates of those with late onset VAP. Acinetobacter was mostly sensitive to Colistin, 80% of Pseudomonas is also sensitive to same. A number of organisms were resistant to Amikacin and Imipenem. Conclusion: The commonest organism responsible for VAP in our CCU was Acinetobacter, which was largely sensitive to Colistin. The emergence of antibiotic resistance of microorganisms causing VAP is a matter of serious concern in this study. Regular surveillance of antibiotic susceptibility pattern is very important to prevent multi-resistant bacterial infections.

bangladesh critical care journal

Ventilator-associated pneumonia in Coronary Care Unit of a tertiary level hospital in Bangladesh: causative organisms and pattern of antibiotic sensitivity