Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia

Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background a...

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Main Author:	Teng Teik, Lim
Format:	Thesis
Language:	English
Published:	2011
Subjects:	R Medicine (General)
Online Access:	http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf
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spelling	my-usm-ep.378352019-04-12T05:26:38Z Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia 2011-05 Teng Teik, Lim R Medicine (General) Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background and interventional risk factors, length of stay and outcome. The study was conducted from January until December 2009. Result : A total of 194 patient fulfilled inclusion criteria and was followed up until discharge from ICU. Mean age of ICU patient was 47.53 years and mean duration of stay was 10.94 days. It was found that the VAP rate per 1000 ventilator days were higher than global VAP rates (19.57 days). DM poses additional risk for developing VAP with OR 2.182. Additionally intervention risk factor, transfering out of ICU (OR 1.402) and continuous sedation (OR 2.978) were statistically significant (p<0.05) for VAP development. Acinobacter sp. was found to be dominant pathogen from BAL of VAP patient. Conclusion : VAP rates in HUSM was found to be significantly higher than global rates. VAP lead to increase length of stay and is associated with DM, transfer out of ICU and continuous sedation. The main pathogen involved in HUSM VAP was Acinobacter sp. 2011-05 Thesis http://eprints.usm.my/37835/ http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Teng Teik, Lim Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
description	Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background and interventional risk factors, length of stay and outcome. The study was conducted from January until December 2009. Result : A total of 194 patient fulfilled inclusion criteria and was followed up until discharge from ICU. Mean age of ICU patient was 47.53 years and mean duration of stay was 10.94 days. It was found that the VAP rate per 1000 ventilator days were higher than global VAP rates (19.57 days). DM poses additional risk for developing VAP with OR 2.182. Additionally intervention risk factor, transfering out of ICU (OR 1.402) and continuous sedation (OR 2.978) were statistically significant (p<0.05) for VAP development. Acinobacter sp. was found to be dominant pathogen from BAL of VAP patient. Conclusion : VAP rates in HUSM was found to be significantly higher than global rates. VAP lead to increase length of stay and is associated with DM, transfer out of ICU and continuous sedation. The main pathogen involved in HUSM VAP was Acinobacter sp.
format	Thesis
qualification_level	Master's degree
author	Teng Teik, Lim
author_facet	Teng Teik, Lim
author_sort	Teng Teik, Lim
title	Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_short	Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_full	Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_fullStr	Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_full_unstemmed	Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_sort	prevalence of ventilator associated pneumonia in intensive care unit hospital university sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2011
url	http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf
_version_	1747820676097507328

Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia

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