VENTILATION ASSOCIATED PNEUMONIA IN LOWBIRTH WEIGHT NEWBORNS
Abstract:
Ventilation associated pneumonia (VAP) is a nosocomial pneumonia occurring after 48 hours
of mechanical ventilation. VAP incidence is between 5-40%. We aimed to identify the risk factors
associated with VAP in premature infants below 32 weeks gestation and to implement a project to
improve medical care. The study was conducted over a period of 20 months in a NICU and included 105
newborns. Diagnostic criteria were clinical, bacteriological and radiological. The incidence of VAP in
2009 was 30% and 23% in 2010. There were 6 deaths in 2009 and 2 deaths in 2010. The need for
another intubation was the most important risk factor for VAP. The most common organism isolated in
cultures from the endotracheal tube was Klebsiella spp. The new preventive strategies reduced the
incidence and morbidity of VAP. Prospective studies are needed to confirm these results.
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