Egyptian Journal of Chest Disease and Tuberculosis (Jan 2017)

Comparison study between bacteriological aetiology and outcome of VAT & VAP

  • Nasr H. Kahlil,
  • Amany Todary Khalil,
  • Dalal ElSayed Abdelaal

DOI
https://doi.org/10.1016/j.ejcdt.2016.10.008
Journal volume & issue
Vol. 66, no. 1
pp. 169 – 174

Abstract

Read online

Mechanical ventilation (MV) is a life saving process but it carries risks of respiratory tract infection as ventilator associated tracheobronchitis (VAT) and ventilator associated pneumonia (VAP) leading to increase morbidity and duration of mechanical ventilation in intensive care unit (ICU). VAT is an intermediate stage between colonization and VAP. Aim of the work: To compare between VAT and VAP as regards microbiological diagnosis and outcome of patients. Subjects and methods: The current study includes twenty patients admitted to respiratory ICU with respiratory failure developed VAT and VAP after 48 h of MV and to evaluate their impact on patient’s outcome. Results: Klebsiella was the commonest organism in both groups and that duration of stay on MV was observed in VAT patients and most of VAT patients progressed to VAP. Conclusion: From the study we concluded that VAT infection is as severe as VAP and it needs more attention to prevent its presence as, once present, it usually progress to VAP increasing mortality rate in ICU.

Keywords