The pattern of Microbiological Colonization of Endotracheal Tube Aspirate on Mechanically Ventilated Patients: A Clinical Study from central India
Keywords:
ventilator-associated pneumonia, clinical pulmonary infection score, tracheal secretion, endotracheal tube, antibiotic sensitivity.Abstract
Background: Among intubated patients, nosocomial infection is a serious problem that contributes significantly to their morbidity and mortality. Pneumonia, a common complication of the endotracheal tube and mechanical ventilation, is one of the most important types of this infection. Aims and objectives: To study the antibiotic sensitivity patterns for the most common microorganisms isolated from the endotracheal tubes of hospitalized patients. Materials and Methods: Patients admitted to Hamidia Hospital's emergency medical ward and then intubated and assisted by mechanical ventilation due to insufficient self-ventilation were studied. For microbiological cultures and sensitivity tests, specimens were collected 48 hours after intubation using a mucous extractor and sent to the Microbiology Laboratory for processing. Results: During our study, we found that 25 percent of our patients had Ventilator-associated pneumonia. Pseudomonas aeruginosa accounts for 17 percent of positive sputum cultures, followed by klebsiella (6%) and staphylococcus aureus (2%). Conclusion: Pseudomonas was the most common organism found, followed by klebsiella and staphylococcus aureus, and the majority of the organisms were susceptible to piperacillin-tazobactam and meropenem.
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Copyright (c) 2022 JL Wadhwani, Anil Sejwar, Dharmendra Kumar Mekle
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