ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH HỌC VÀ CĂN NGUYÊN VI SINH VẬT GÂY BỆNH Ở NGƯỜI BỆNH THỞ MÁY ĐƯỢC NỘI SOI PHẾ QUẢN ỐNG MỀM TẠI KHOA HỒI SỨC TÍCH CỰC BỆNH VIỆN E

Abstract

Objective: To analyze the clinical characteristics, imaging findings, and microbial etiology in mechanically ventilated patients undergoing flexible bronchoscopy at the Intensive Care Unit of E Hospital. Methods: A descriptive study was conducted on 25 patients receiving invasive mechanical ventilation who underwent bronchoscopy. Clinical features, imaging findings, and microbial causes of infection were assessed. Results: Among 25 mechanically ventilated patients undergoing flexible bronchoscopy at the Intensive Care Unit of E Hospital from March 2024 to November 2024, we observed the following: The mean age was 61.4 ± 19.8 years. Bronchial fluid cultures identified Acinetobacter baumannii in 46. 7% of cases, exhibiting multidrug resistance to broad-spectrum antibiotics, with 50% showing intermediate susceptibility to colistin. Pseudomonas aeruginosa was detected in 33. 3% of bronchial fluid cultures, demonstrating near-total resistance to conventional antibiotics, with sensitivity only to Ceftazidime/Avibactam. Conclusion: This study of 25 patients, we found that flexible bronchoscopy was successfully applied in mechanically ventilated patients. It provided valuable insights into clinical characteristics, imaging findings, and bacterial etiology, guiding clinicians in patient management and targeted antimicrobial therapy.