A study of the correlation between ventilator associated pneumonia and mortality rate of traumatic in patients in intensive care units

2015-12-09T00-52-20Z
Source: International Journal of Research in Medical Sciences
Farshid Rahimi Bashar, Nahid Manuchehrian, Mohammad Hossein Jarahzadeh.
Background: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection among the traumatic in-patients in Intensive Care Units (ICUs). Trauma is a risk factor for the incidence of VAP, yet, the association between VAP and outcome is not clear in traumatic in-patients in ICUs. This study investigated the correlation between ventilator-associated pneumonia and mortality rate of traumatic in-patients in ICUs in Be'that Hospital in Hamedan, western Iran. Methods: This observational prospective study was conducted in the ICU of Be'that Hospital, Hamedan, Iran, during 1 year (March 2013 until February 2014). The population under study included traumatic in-patients aged less than 18 year who were in need of invasive mechanical ventilation for more than 48 h with APACHE SCORE II of less than 25. They were studied for the incidence or lack of incidence of VAP. Results: Of 154 patients under study, 114 cases (74%) suffered from multiple traumata, 32 cases (20.8%) were affected with head trauma, 5 cases (3.2%) sustained spinal cord injury, and 3 cases (1.9%) suffered from thoracic trauma. Also, 47 cases (30.5%) were affected with VAP. Compared to the non-VAP group, the patients in VAP group had longer ICU stay (18.5±6.21 days vs. 9.21±2.91 days, P


from #MedicinebyAlexandrosSfakianakis via xlomafota13 on Inoreader http://ift.tt/1NaXhMp
via IFTTT