Frequency and Etiology of Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit of Services Hospital Lahore

Abstract

Objective: To determine the frequency of ventilator associated pneumonia in children and to find out the common causative organisms involved in ventilator associated pneumonia.
Methods: This cross sectional study was conducted in department of Pediatrics, Services Hospital Lahore over a period of one year from July 2014 to June 2015. Ethical approval was taken from institutional review committee. A total of 200 children were included in study after taking informed consent. Data was collected by using predesigned questionnaire. The data was analyzed by SPSS version 21.
Results: Out of total 200 children, 43.5 % (n=87) were between 1-6 years of age, while 56.5% (n=113) were between 7-12 years of age, mean ±SD was 6.63±3.12 years. 59.5 % (n=119) were males and 40.5 %( n=81) females. Frequency of ventilator associated pneumonia in children was 8.5% (n=17). Causative organism in cases with VAP in children shows 52.94% (n=9) Pseudo- monas, 29.41% (n=5) Klebsiella, 11.77% (n=2) E.Coli and 5.88%(n=1) other causative organism.
Conclusions: The frequency of VAP is quite high in children on mechanical ventilation. A high suspicion and timely intervention can reduce morbidity and mortality associated with this disorder