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Volume 5, Issue 2 (11-2019)
IJCA 2019, 5(2): 0-0 |
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Zare Mahmoudabadi R, Haghighi Aski B, Manafi Anari A, Serati Z. Ventilator-associated pneumonia among intubated children: A survey among an Iranian sample with the approach to determining the trend of its incidence within intubation time. IJCA 2019; 5 (2)
URL: http://ijca.iums.ac.ir/article-1-186-en.html
URL: http://ijca.iums.ac.ir/article-1-186-en.html
Abstract: (992 Views)
Backgrounds: Ventilator-associated pneumonia (VAP) is the most widespread infection among individuals hospitalized in intensive care units leading to high mortality and morbidity as well as a high cost burden. We aimed to compare the bacterial strains obtained from respiratory secretions using the mini-BAL technique within four days of intubation in children admitted to PICU.
Methods: This cross-sectional study was conducted on all consecutive children who were admitted to PICU ward at Ali-Asghar referral children hospital in Tehran in 2018 with that assessed for qualitative and quantitative analysis of respiratory secretions by Mini-BAL due to suspicion to VAP.
Results: In total, 53 children suspected to VAP were included into the assay. Assessing the respiratory secretion at the first day of intubation found two positive cultures for klebsiella strain indicating an infection rate of 3.7%. Assessing the results of bacterial cultures at the fourth days of intubation revealed 18 positive cultures for different species including klebsiella in 7 cases, pseudomonas in 3 cases, Acinetobacter in 2 cases, Serratia in 1 case, Alcaligenes in 1 case, Enterobacter in 1 case, Enterococcus in 1 case, Escherichia Coli in 1 case and candida albicans in 1 case yielding an overall VAP rate of 34.0%.
Conclusion: VAP is a common event among children who are intubated in PICU and the likelihood of this complication can be raised over time from intubation as about one-third of our assessed children suffered from VAP at the fourth day after intubation. The most common strains affecting such children include klebsiella followed by pseudomonas and Acinetobacter.
Methods: This cross-sectional study was conducted on all consecutive children who were admitted to PICU ward at Ali-Asghar referral children hospital in Tehran in 2018 with that assessed for qualitative and quantitative analysis of respiratory secretions by Mini-BAL due to suspicion to VAP.
Results: In total, 53 children suspected to VAP were included into the assay. Assessing the respiratory secretion at the first day of intubation found two positive cultures for klebsiella strain indicating an infection rate of 3.7%. Assessing the results of bacterial cultures at the fourth days of intubation revealed 18 positive cultures for different species including klebsiella in 7 cases, pseudomonas in 3 cases, Acinetobacter in 2 cases, Serratia in 1 case, Alcaligenes in 1 case, Enterobacter in 1 case, Enterococcus in 1 case, Escherichia Coli in 1 case and candida albicans in 1 case yielding an overall VAP rate of 34.0%.
Conclusion: VAP is a common event among children who are intubated in PICU and the likelihood of this complication can be raised over time from intubation as about one-third of our assessed children suffered from VAP at the fourth day after intubation. The most common strains affecting such children include klebsiella followed by pseudomonas and Acinetobacter.
Type of Study: Original Research |
Subject:
PICU
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