Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia

Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background a...

Full description

Bibliographic Details
Main Author: Teng Teik, Lim
Format: Thesis
Language:English
Published: 2011
Subjects:
Online Access:http://eprints.usm.my/37835/
http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf
_version_ 1848878301316120576
author Teng Teik, Lim
author_facet Teng Teik, Lim
author_sort Teng Teik, Lim
building USM Institutional Repository
collection Online Access
description Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background and interventional risk factors, length of stay and outcome. The study was conducted from January until December 2009. Result : A total of 194 patient fulfilled inclusion criteria and was followed up until discharge from ICU. Mean age of ICU patient was 47.53 years and mean duration of stay was 10.94 days. It was found that the VAP rate per 1000 ventilator days were higher than global VAP rates (19.57 days). DM poses additional risk for developing VAP with OR 2.182. Additionally intervention risk factor, transfering out of ICU (OR 1.402) and continuous sedation (OR 2.978) were statistically significant (p<0.05) for VAP development. Acinobacter sp. was found to be dominant pathogen from BAL of VAP patient. Conclusion : VAP rates in HUSM was found to be significantly higher than global rates. VAP lead to increase length of stay and is associated with DM, transfer out of ICU and continuous sedation. The main pathogen involved in HUSM VAP was Acinobacter sp.
first_indexed 2025-11-15T17:29:10Z
format Thesis
id usm-37835
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T17:29:10Z
publishDate 2011
recordtype eprints
repository_type Digital Repository
spelling usm-378352019-04-12T05:26:38Z http://eprints.usm.my/37835/ Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia Teng Teik, Lim R Medicine (General) Introduction : VAP is a common complication of patient who are receiving mechanical ventilation. This study aims to provide background prevalence, consequences and risk factors of VAP in HUSM. Methodology This was an observational study conducted in ICU HUSM. Patients were reviewed for background and interventional risk factors, length of stay and outcome. The study was conducted from January until December 2009. Result : A total of 194 patient fulfilled inclusion criteria and was followed up until discharge from ICU. Mean age of ICU patient was 47.53 years and mean duration of stay was 10.94 days. It was found that the VAP rate per 1000 ventilator days were higher than global VAP rates (19.57 days). DM poses additional risk for developing VAP with OR 2.182. Additionally intervention risk factor, transfering out of ICU (OR 1.402) and continuous sedation (OR 2.978) were statistically significant (p<0.05) for VAP development. Acinobacter sp. was found to be dominant pathogen from BAL of VAP patient. Conclusion : VAP rates in HUSM was found to be significantly higher than global rates. VAP lead to increase length of stay and is associated with DM, transfer out of ICU and continuous sedation. The main pathogen involved in HUSM VAP was Acinobacter sp. 2011-05 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf Teng Teik, Lim (2011) Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia. Masters thesis, Universiti Sains Malaysia.
spellingShingle R Medicine (General)
Teng Teik, Lim
Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_full Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_fullStr Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_full_unstemmed Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_short Prevalence of ventilator associated pneumonia in Intensive Care Unit Hospital University Sains Malaysia
title_sort prevalence of ventilator associated pneumonia in intensive care unit hospital university sains malaysia
topic R Medicine (General)
url http://eprints.usm.my/37835/
http://eprints.usm.my/37835/1/Pages_from_Dr._Lim_Teng_Teik.pdf