CĂN NGUYÊN VI KHUẨN GÂY VIÊM PHỔI LIÊN QUAN THỞ MÁY TẠI KHOA HỒI SỨC TÍCH CỰC NGOẠI KHOA BỆNH VIỆN ĐA KHOA TỈNH THANH HÓA

Abstract

Background: The rate of bacteria resistant to antibiotics is increasing, inappropriate initial antibiotic selection contributes to increased mortality. Identifying the common bacterial etiology of ventilator-associated pneumonia in the ICU contributes to optimal initial antibiotic use. Objectives: Identification of bacterial causes of VAP in patients treated at the Intensive Care Unit of the General Hospital of Thanh Hoa Province. Subjects and methods: A cross-sectional descriptive study on 63 patients diagnosed with VAP treated at the surgical intensive care unit of Thanh Hoa General Hospital from 1/2023 to 6/2023. Results: The rate of sputum culture, bronchial fluid was positive 93.7%. Acinetobacter baumannii (55.9%) is the causative agent with the highest percentage, followed by Corynebacterium spp. (39%), Pseudomonas aeruginosa (23.7%), Klebsiella pneumoniae (13.6%), Staphylococcus aureus (13.6%). Most strains of bacteria are resistant to many antibiotics. Conclusion: With the increasing prevalence of Acinetobacter baumannii infection in patients with VAP, Corynebacterium spp may be a common but easily overlooked cause. Pathogenic bacteria strains are resistant to many antibiotics.