Articles Vol. 64 No. tiếng Anh 22/12/2023

7. CURRENT SITUATION OF VENTILATOR - ASSOCIATED PNEUMONIA IN DEPARTMENT OF INTENSIVE CARE AND ANTIPOISON AT PHU THO GENERAL HOSPITAL IN 2023

Nguyen Thi Phuong Thao1, Nguyen Quang An2, Pham Kim Lien3
1 Phu Tho Provincial General Hospital
2 Phu Tho Medical College
3 University of Medicine and Pharmacy, Thai Nguyen University
Corresponding author: drphuongthao84@gmail.com
DOI: 10.52163/yhc.v64i13.862
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Keywords
Ventilator-associated pneumonia, hospital infection.
Abstract

Objectives: Exploring current situation of ventilator - associated pneumonia (VAP) in department of intensive care and antipoison at Phu Tho general hospital in 2023.

Subjects and mothods: A cross-sectional descriptive study on 137 mechanically ventilated patients were treated in department of intensive care and antipoison at Phu Tho general hospital from August 2022 to May 2023.

Results: Male 81,8%, mean age 64,2 ± 19,8 years old, the main underlying condition requiring patients admitting and ventilating mainly were coma (37,2%) and shock (32,8%). Incidence rate of VAP was 41,6%, mortality and serious patient come back home in VAP group was 65,9% which higher than non-VAP was 34,1%. Factors including immunodeficiency increase the risk of VAP 3,2 times, reintubation increases the risk 2,2 times, tracheostomy patients increase the risk 7,5 times, and mechanical ventilation for > 10 days increases the risk. muscle increased 7,4 times. VAP group had a longer duration of mechanical ventilation, ICU stays, as well as hospitalization days compared to non-VAP group.

Conclusion: VAP is a common severe infection in the intensive care unit, leading to increased mortality rates and prolonged treatment duration. Immunodeficiency, reintubation, tracheotomy and mechanical ventilation for more than 10 days increase the risk of VAP.

References
[1]
AC Kalil, ML Metersky, M Klompas et al., Google Scholar
[2]
Management of Adults With Hospital-acquired Google Scholar
[3]
and Ventilator-associated Pneumonia: 2016 Google Scholar
[4]
Clinical Practice Guidelines by the Infectious Google Scholar
[5]
Diseases Society of America and the American Google Scholar
[6]
Thoracic Society, Clin Infect Dis; 63(5), 2016, Google Scholar
[7]
e61-e111. Google Scholar
[8]
Nguyen Danh Duc, Hoang Bui Hai, Nguyen Kim Google Scholar
[9]
Thu, Clinical and paraclinical characteristics of Google Scholar
[10]
patients with ventilator-associated pneumonia Google Scholar
[11]
treated at Hanoi Medical University Hospital, Google Scholar
[12]
Vietnam Medical Journal, 523(2), 2023. Google Scholar
[13]
Nguyen Minh Luc, Nguyen The Anh, The Google Scholar
[14]
situation of hospital-acquired infections at the Google Scholar
[15]
Intensive Care and Poison Control Department Google Scholar
[16]
of Huu Nghi Hospital in 2021, Vietnam Medical Google Scholar
[17]
Journal, 513(2), 2022. Google Scholar
[18]
Pham Thi Ngoc Oanh, Assessing the current Google Scholar
[19]
situation of pneumonia related to mechanical Google Scholar
[20]
ventilation at the Department of Emergency Google Scholar
[21]
Resuscitation at Duc Giang General Hospital, Google Scholar
[22]
Vietnam Journal of Cardiovascular and Thoracic Google Scholar
[23]
Surgery, Number 9, 2014. Google Scholar
[24]
Tran Dinh Phung, Huynh Quang Dai, Pham Thi Google Scholar
[25]
Ngoc Thao, Research on ventilator-associated Google Scholar
[26]
pneumonia at Cho Ray Hospital, Medical Google Scholar
[27]
Research Journal. Episode 20, 2016. Google Scholar
[28]
Vu Dinh An, Research on the situation of Google Scholar
[29]
ventilator-associated pneumonia at the Intensive Google Scholar
[30]
Care Department of Military Hospital 175, Ho Google Scholar
[31]
Chi Minh City University of Medicine and Google Scholar
[32]
Pharmacy, 2017. Google Scholar
[33]
L Papazian, M Klompas, CE Luyt, Ventilator Google Scholar
[34]
associated pneumonia in adults: a narrative Google Scholar
[35]
review”, Intensive Care Med, 46(5), 2020, 888-906. Google Scholar
[36]
H Mumtaz, M Saqib, W Khan et al., Ventilator Google Scholar
[37]
associated pneumonia in intensive care unit Google Scholar
[38]
patients: a systematic review, Ann Med Surg Google Scholar
[39]
(Lond), 85(6), 2023, 2932-2939. Google Scholar