Articles Vol. 63 No. chuyên đề 3-HN Sản Nhi Nghệ An (2022) 30/11/2022

INCIDENCE AND ETIOLOGY OF VENTILATOR-ASSOCIATED PNEUMONIA IN PEDIATRIC INTENSIVE CARE UNIT AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL

Duong Dinh Chinh1,2, Nguyen Hung Manh3,4, Nguyen Chi Sy3,4, Ta Thi Quynh Anh3,4
1 Nghe An Health Department
2 Sở Y tế Nghệ An
3 Nghe An Hospital of Obstetrics and Pediatrics
4 Bệnh viện Sản Nhi Nghệ An
Corresponding author: phamhienbsnhi@gmail.com
DOI: 10.52163/yhc.v63i8.495
17 Views
0 Downloads
Abstract

Objectives: To find out the incidence and etiology of ventilator-associated pneumonia (VAP)
in pediatric intensive care unit.
Subjects and methods: Descriptive study of 173 patients requiring mechanical ventilator ≥ 48
hours at Nghe An Obstetrics and Pediatrics Hospital from August 2020 to July 2022.
Results: 47 patients suffered ventilator-associated pneumonia with 51 episodes met the criteria
for VAP. The incidence rate reached up to 27,1% and 30,9/1000 mechanical ventilator days. The
most frequently isolated mico-organisms were Acinetobacter baumannii (29,7%), followed by
Klebsiella pneumoniae (22,2%) and Pseudomonas aeruginosa (18,5%). By compared with nonVAP group, VAPs were closely related to longer ventilator, intensive care unit stay time and
hospitalization time.
Conclusions: The incidence of VAP in this study was relatively high, strict supervision of
infection control protocols are crucial.

References
[1]
Amanati A., Karimi A., Fahimzad A., et al., Google Scholar
[2]
Incidence of Ventilator-Associated Pneumonia Google Scholar
[3]
in Critically Ill Children Undergoing Google Scholar
[4]
Mechanical Ventilation in Pediatric Intensive Google Scholar
[5]
Care Unit. Children, 4(7), 56, 2017. Google Scholar
[6]
Wu D., Wu C., Zhang S. et al., Risk Factors Google Scholar
[7]
of Ventilator-Associated Pneumonia in Google Scholar
[8]
Critically III Patients. Front Pharmacol, 10(7), Google Scholar
[9]
[10]
Chang I., Schibler A., Ventilator Associated Google Scholar
[11]
Pneumonia in Children. Paediatr Respir Rev, Google Scholar
[12]
(3), 10–16, 2016. Google Scholar
[13]
Terms K. Pneumonia ( Ventilator-associated Google Scholar
[14]
[ VAP ] and non-ventilator- associated Google Scholar
[15]
Pneumonia [PNEU]) Event Table of Contents Google Scholar
[16]
Key Terms and Abbreviations Definitions Google Scholar
[17]
Specific to PNEU / VAP Surveillance : Google Scholar
[18]
;(January 2013):1-19. Google Scholar
[19]
Ergul A.B., Cetin S., Ay Altintop Y., et al., Google Scholar
[20]
Evaluation of Microorganisms Causing Google Scholar
[21]
Ventilator-Associated Pneumonia in a Pediatric Google Scholar
[22]
Intensive Care Unit. Eurasian J Med, 49(2), Google Scholar
[23]
–91, 2017. Google Scholar
[24]
Geslain G., Guellec I., Guedj R. et al., Google Scholar
[25]
Incidence and risk factors of ventilatorassociated pneumonia in neonatal intensive care Google Scholar
[26]
unit: a first French study. Minerva Anestesiol, Google Scholar
[27]
(7), 2018. Google Scholar
[28]
Vijay G., Mandal A., Sankar J., et al., Google Scholar
[29]
Ventilator Associated Pneumonia in Pediatric Google Scholar
[30]
Intensive Care Unit: Incidence, Risk Factors Google Scholar
[31]
and Etiological Agents. Indian J Pediatr, Google Scholar
[32]
(10), 861–866, 2018. Google Scholar
[33]
Galal YS, Ventilator-Associated Pneumonia: Google Scholar
[34]
Incidence, Risk Factors and Outcome in Google Scholar
[35]
Paediatric Intensive Care Units at Cairo Google Scholar
[36]
University Hospital. J Clin Diagn Res, Google Scholar
[37]
(12),145-161, 2016. Google Scholar
[38]
Chomton M., Brossier D., Sauthier M., et al., Google Scholar
[39]
Ventilator-Associated Pneumonia and Events in Google Scholar
[40]
Pediatric Intensive Care: A Single Center Google Scholar
[41]
Study. Pediatr Crit Care Med, 19(12), 1106– Google Scholar
[42]