CLINICAL AND SUBCLINICAL CHARACTERISTICS OF PATIENTS WITH VENTILATOR ASSOCIATED PNEUMONIA AT THAI NGUYEN NATIONAL HOSPITAL
Overview
Abstract:
Objective: to study
clinical, subclinical of patient with ventilator associated pneumonia (VAP) at Thai Nguyen National Hospital.
Subjects and methods: Cross -
sectional description of 33 patients diagnosed with VAP at Thai Nguyen National
Hospital from
July 2020 to June 2021. Results: Male/Female
ratio = 2,67. The mean age of the patients was 57,03 ± 21,282. The mean of the onset time in VAP is 4,88 ± 2,955 days.
Clinical symptoms: increased purulent sputum secretion (90,9%), fever (87,9%), in which high fever ≥ 38,50C (66,7%), pulmonary crackles (87,9%). Subclinical symptoms: chest
X-ray with pulmonary consolidation (54,5%), diffuse pulmonary infiltrates
(42,4%), cavity (3,0%); increased peripheral
blood leukocytes ≥ 10 G/l (90,9%); high level of procalcitonin > 2 ng/ml
(63,6%). Sputum culture: 88,3% was positive for Gram - negative
bacteria, in which A.baumannii
(32,3%), K.pneumoniae (32,3%), P.aeruginosa (20,6%). A.baumannii is completely susceptible to
Colistin (100%), resistant to most of the other antibiotics; K.pneumoniae is high susceptible to
Colistin (100%), Carbapenem (>60%). P.aeruginosa is high susceptible to
Colistin, Carbapennem, Vancomycin, Linezolid,
Piperacillin/ Tazobactam.
Keyword(s): Keywords: Ventilator associated pneumonia (VAP).
Pages (from-to) | 145-149 |
Journal | Journal of Medicine and Pharmacy |
Volume | 29 |
Publication status | Published - Sep-2021 |
ISBN | 2734-9209 |