Ventilator-Associated Pneumonia: Clinical and Bacteriological Aspects of Patients at University Hospital of Londrina

• DOI: https://doi.org/10.22533/at.ed.07624120620

• Palavras-chave: -

• Keywords: Ventilator-Associated Pneumonia; Bacteriology; Intensive Care Unit.

• Abstract: Objective: To determine the incidence and bacteriology of microorganisms isolated from endotracheal aspirates (EA) of patients with VAP. Methods: Patients admitted to the ICU from June 1, 2017 to May 31, 2019 were considered. Of the 1017 patients in whom EA cultures were performed, 555 were diagnosed with some type of pneumonia. From the ones considered, 235 developed VAP and 170 developed non-ventilator associated pneumonia. Finally, only 153 VAP positive patients met all diagnostic inclusion criteria. Results: The most frequent microorganisms identified were Acinetobacter baumannii (67), Pseudomonas aeruginosa (25), Staphylococcus aureus (35) and Klebsiella pneumoniae (34). Most clinical isolates were extensively resistant to antibiotics (XDR). The mean age of the patients was 42 ± 69 years old (p- value=0.004), 160 (68.1%) were male, 203 (86.4%) had late-onset VAP and 164 (69.9%) died. VAP proved to be a major problem in ICU patients at the University Hospital of Londrina. Conclusion: Knowledge of epidemiological and microbiological data from patients with VAP assists in proposing measures for the identification, prevention and control of healthcare-related infections.