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:: Volume 19, Number 1 (Iranian South Medical Journal 2016) ::
Iran South Med J 2016, 19(1): 98-105 Back to browse issues page
Causes of ventilator associated pneumonia in pediatrics ICU
Alireza Nateghian1, Abdolmajid Omrani *2, Zinab Alipour3, Mohammadjavad Haerinejad4
1- Pediatric Infectious Diseases Department, Ali Asghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran
2- Department of Pediatrics, Faculty of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran , Omrani.majid@yahoo.com
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
4- The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract:   (1829 Views)

Background: Hospital acquired infections are associated with prolonged hospitalization and visibly increased mortality & cost. Ventilator-associated pneumonia (VAP) is one of the most common hospital-acquired infections VAP complicates the course of 9-70% % of mechanically ventilated patients and mortality varies greatly from 20-25% depending on the defining criteria and specific population being studied. As little is known about the epidemiology, risk factors, and microbiology of VAP in pediatrics we conducted this study to find most common micro-organisms and related risk factors.

Materials and methods: We select 1-15 months intubated pediatric patients in Ali- Asghar children hospital in Tehran from 1388 up to end of 1389. 63 cases (36 male & 27 female) were included in this study with mean age 22.32±37.84 months. We identified 26 cases with VAP by positive protected bronchial brush. There was no differences between two groups of patients with & without VAP by considering variables such as nasogastric tube, head position, antacid administration, immunosuppressant drugs & chest physiotherapy.

Results: The most common organisms, were Pseudomonas aeuroginosa, Staphylococcus aureus & Enterobacter. However, there was no differences between two groups related to the etiologic agents.

Conclusion: The findings of this study suggest that most of the complications defined as VAP are patient-related, not modifiable risk factors and it seems that the new prevention strategies are needed to decrease the mortality in intensive care unit patients

Keywords: pneumonia, Ventilator, Pediatrics, Micro-organism.
Full-Text [PDF 366 kb]   (593 Downloads)    
Type of Study: Original | Subject: Pediatrics
Received: 2016/02/25 | Accepted: 2016/02/25 | Published: 2016/02/25
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DOI: 10.7508/ismj.1395.01.009
PMCID: 27717603


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Nateghian A, Omrani A, Alipour Z, Haerinejad M. Causes of ventilator associated pneumonia in pediatrics ICU. Iran South Med J. 2016; 19 (1) :98-105
URL: http://ismj.bpums.ac.ir/article-1-775-en.html
Volume 19, Number 1 (Iranian South Medical Journal 2016) Back to browse issues page
دانشگاه علوم پزشکی بوشهر، طب جنوب ISMJ

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