Journal of AdvancedMedical and Dental Sciences Research

Background: Ventilator-associated pneumonia (VAP) refers to bacterial pneumonia developed in patients who have been mechanically ventilated for a duration of more than 48 hours. The present study was conducted to assess ventilator associated pneumonia in hospitalized patients. Materials & Methods: 104 patients who developed pneumonia of both genders were enrolled. Parameters such as incidence of VAP, duration of mechanical ventilation and duration of hospital stay were recorded. Results: Out of 104 patients, males were 64 and females were 40. Diagnosis was meningitis seen in 11 VAP and 9 non VAP, GBS in 10 and 3, cardiogenic shock in 9 and 2, stroke in 7 and 1, malaria in 12 and 4, sepsis in 11 and 3, dengue shock syndrome in 8 and 5 and hepatic encephalopathy in 6 and 3 in VAP and non- VAP cases. There were 12, 8, 10, 6, 12, 8, 9 and 5 survivors cases in meningitis, GBS, cardiogenic shock, stroke, malaria, sepsis, dengue shock syndrome and hepatic encephalopathy respectively (P< 0.05). Apache II score in VAP was 21.3, in non- VAP was 15.2, in survivors was 14.2 and in non- survivors was 24.7, mechanical ventilation days was 12.6, 5.4, 7.3 and 9.5 in VAP, non- VAP, survivors and in non- survivors respectively. Mean hospital stay was 16.5, 8.1, 11.3 and 10.7 days in in VAP, non- VAP, survivors and in non- survivors respectively. The difference was significant (P< 0.05). Conclusion: Most common diagnosis was meningitis and Apache II score was higher among VAP patients as compared to non- VAP patients.