Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019

Background and purpose: Ventilator-associated pneumonia (VAP) is one of the major factors of mortality and morbidity in Intensive care units (ICUS), especially in open-heart surgery patients. The purpose of this study was to investigate VAP in open-heart surgery patients admitted to the ICU in Sari...

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Main Authors: Alireza Davoodi, Ahmad Pakdel, Zahra Akbari, Lotfollah Davoodi, Maryam Mirzakhani, Bahareh Soleimanpourian, Nasrin Sayar, Nima Namvar, Fatemeh Ahangarkani
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-07-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18152-en.html
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author Alireza Davoodi
Ahmad Pakdel
Zahra Akbari
Lotfollah Davoodi
Maryam Mirzakhani
Bahareh Soleimanpourian
Nasrin Sayar
Nima Namvar
Fatemeh Ahangarkani
author_facet Alireza Davoodi
Ahmad Pakdel
Zahra Akbari
Lotfollah Davoodi
Maryam Mirzakhani
Bahareh Soleimanpourian
Nasrin Sayar
Nima Namvar
Fatemeh Ahangarkani
author_sort Alireza Davoodi
collection DOAJ
description Background and purpose: Ventilator-associated pneumonia (VAP) is one of the major factors of mortality and morbidity in Intensive care units (ICUS), especially in open-heart surgery patients. The purpose of this study was to investigate VAP in open-heart surgery patients admitted to the ICU in Sari Fatemeh Zahra Hospital, 2017-2019. Materials and methods: In this retrospective descriptive cross-sectional study, demographic, clinical, laboratory, and therapeutic information of patients with VAP were examined. Data were analyzed using SPSS V25. Results: A total of 52 patients with VAP were elevated after open heart surgery. The mean age of patients was 64.41±10.85 years and 55.8% were men. Half of the patients (51.9%) underwent intubation for less than five days and the mean duration of occurrence of VAP after initiation of ventilation was about six hours. The most common microorganisms causing pneumonia were Acinetobacter baumannii (23.63%) and Citrobacter freundii (16.36%). In general, the highest resistance of isolated microorganisms was toward third-generation cephalosporins and their highest sensitivity was to aminoglycosides. Conclusion: Control and prevention of ventilator-associated pneumonia is of particular importance, especially in patients after open-heart surgery admitted to intensive care units.
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spelling doaj.art-6d779eb9858e4b3994772742a15c45762023-02-28T08:48:56ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792022-07-0132210116124Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019Alireza Davoodi0Ahmad Pakdel1Zahra Akbari2Lotfollah Davoodi3Maryam Mirzakhani4Bahareh Soleimanpourian5Nasrin Sayar6Nima Namvar7Fatemeh Ahangarkani8 Associate Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran General Practitioner, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran MSc in Nursing, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran BSc in Nursing, Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari, Iran ENT Specialist, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran General Physician student, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Ventilator-associated pneumonia (VAP) is one of the major factors of mortality and morbidity in Intensive care units (ICUS), especially in open-heart surgery patients. The purpose of this study was to investigate VAP in open-heart surgery patients admitted to the ICU in Sari Fatemeh Zahra Hospital, 2017-2019. Materials and methods: In this retrospective descriptive cross-sectional study, demographic, clinical, laboratory, and therapeutic information of patients with VAP were examined. Data were analyzed using SPSS V25. Results: A total of 52 patients with VAP were elevated after open heart surgery. The mean age of patients was 64.41±10.85 years and 55.8% were men. Half of the patients (51.9%) underwent intubation for less than five days and the mean duration of occurrence of VAP after initiation of ventilation was about six hours. The most common microorganisms causing pneumonia were Acinetobacter baumannii (23.63%) and Citrobacter freundii (16.36%). In general, the highest resistance of isolated microorganisms was toward third-generation cephalosporins and their highest sensitivity was to aminoglycosides. Conclusion: Control and prevention of ventilator-associated pneumonia is of particular importance, especially in patients after open-heart surgery admitted to intensive care units.http://jmums.mazums.ac.ir/article-1-18152-en.htmlpneumoniaventilatormicroorganism
spellingShingle Alireza Davoodi
Ahmad Pakdel
Zahra Akbari
Lotfollah Davoodi
Maryam Mirzakhani
Bahareh Soleimanpourian
Nasrin Sayar
Nima Namvar
Fatemeh Ahangarkani
Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
Journal of Mazandaran University of Medical Sciences
pneumonia
ventilator
microorganism
title Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
title_full Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
title_fullStr Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
title_full_unstemmed Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
title_short Clinical Epidemiology of Ventilator-Associated Pneumonia in Open Heart Surgery Patients Admitted to Intensive Care Units in Sari Fatemeh Zahra Hospital, 2017-2019
title_sort clinical epidemiology of ventilator associated pneumonia in open heart surgery patients admitted to intensive care units in sari fatemeh zahra hospital 2017 2019
topic pneumonia
ventilator
microorganism
url http://jmums.mazums.ac.ir/article-1-18152-en.html
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