Introduction / Purpose: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit (ICU). It caused prolonged hospital stay and increased mortality. In this study, we aimed to investigate the rate of VAP, causative microorganisms and their antibiotic susceptibilities.
Materials and Method: This retrospective study included patients that admitted in 12-bed ICU between January 2013 and December 2014. Centers for Disease Control and Prevention criterias were used in detecting VAP. The rate of VAP, VAP ratio and ventilator utilisation ratio (VUR) were calculated according to guidelines of Turkish National Infection Surveillance Control Group. Endotracheal aspiration samples were collected and cultivated. The identification of the isolates were performed by using VITEK-2 automated system. Antibiotic susceptibilities were determined by the disc diffusion method according to The Clinical and Laboratory Standards Institute criteria.
Results: From a total of 359 patients, who were required invasive ventilation for longer than 48 hours and hospitalised in the ICU, VAP was determined in 16 cases. VUR was 65%, VAP ratio was 4.5% and the rate of VAP was 3.3 per 1000 ventilator days. Seventeen microorganisms were …show more content…
Conclusion: Intermittent analysing the causative microorganisms of VAP and antibiotic susceptibilities is important in terms of scheduling appropriate empirical antibiotic treatment and detection of correct infection control strategies. As a consequently, the rate of VAP could be decreased by using correct infection control strategies (antibiotic stewardship) and appropriate empirical antibiotic therapy for gram-negative
Materials and Method: This retrospective study included patients that admitted in 12-bed ICU between January 2013 and December 2014. Centers for Disease Control and Prevention criterias were used in detecting VAP. The rate of VAP, VAP ratio and ventilator utilisation ratio (VUR) were calculated according to guidelines of Turkish National Infection Surveillance Control Group. Endotracheal aspiration samples were collected and cultivated. The identification of the isolates were performed by using VITEK-2 automated system. Antibiotic susceptibilities were determined by the disc diffusion method according to The Clinical and Laboratory Standards Institute criteria.
Results: From a total of 359 patients, who were required invasive ventilation for longer than 48 hours and hospitalised in the ICU, VAP was determined in 16 cases. VUR was 65%, VAP ratio was 4.5% and the rate of VAP was 3.3 per 1000 ventilator days. Seventeen microorganisms were …show more content…
Conclusion: Intermittent analysing the causative microorganisms of VAP and antibiotic susceptibilities is important in terms of scheduling appropriate empirical antibiotic treatment and detection of correct infection control strategies. As a consequently, the rate of VAP could be decreased by using correct infection control strategies (antibiotic stewardship) and appropriate empirical antibiotic therapy for gram-negative