Ventilator Associated Pneumonia

VAP is a form of nosocomial infection that occurs in patients receiving mechanical ventilation for long than 48 hours. Common causative pathogens of VAP include Gram negative bacteria such as Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and Acinetobacter species, and Gram-positive bacteria such as Staphylococcus aureus. It is a common infectious disease found in the intensive care unit, which occurs in approximately 8-38% of the patients who received mechanical ventilation.

The incidence of VAP in is 22.8% and patients receiving ventilator support account for 86% of the cases of nosocomial pneumonia, globally. The mortality rate caused by VAP is approximately 27% and the cost of the treatment of this infection is expensive. In Sri Lanka, Teaching Hospital Karapitiya, Galle is one of the main tertiary care centres in the country dealing with VAP.

Sources:
Bacterial Pathogens of Ventilator Associated Pneumonia in a Tertiary Referral Hospital.

An audit on ventilator associated pneumonia in the intensive care unit at teaching hospital Karapitiya, galle, Sri Lanka.

Impact of Ventilator Associated Pneumonia on the Health of ICU Patients.