NGHIÊN CỨU TÌNH HÌNH VIÊM PHỔI LIÊN QUAN THỞ MÁY TẠI KHOA HỒI SỨC TÍCH CỰC VÀ CHỐNG ĐỘC BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022-2023

Abstract

Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in the ICU, accounting for 8-10% of patients treated and 27% of ventilator patients. The etiology of VAP are usually multidrug-resistant gram-negative strains. Early appropriate antibiotic treatment improves outcomes, therefore initial antibiotic selection is important. Objectives: Determine the cause of ventilator-associated pneumonia and appropriate initial antibiotic rate; Evaluation of treatment results and some related factors in patients with ventilator-associated pneumonia. Materials and methods: A cross-sectional descriptive study of 77 patients diagnosed with VAP from October 2022 to April 2023 at the intensive care and anti-toxicity department of Can Tho Central General Hospital. Results: The mean age of the patients was 68 ± 15.09. VAP with early onset accounted for 75,3%. The most common pathogenic bacteria was Acinetobacter baumannii. Appropriate initial antibiotics accounted for a high rate. The mortality rate due to VAP was 64,9%. The rate of colistin antibiotic use was 75.3%. There was no difference in mortality between early-onset VAP and late-onset VAP.Conclusion: The most common pathogenic bacteria are Acinetobacter baumannii followed by Klebsiella pneumoniae which are the bacteria most commonly associated with hospital-acquired infections. Death due to VAP accounts for a high rate.