KHẢO SÁT TÌNH HÌNH VIÊM PHỔI LIÊN QUAN THỞ MÁY TẠI TRUNG TÂM HỒI SỨC TÍCH CỰC BỆNH VIỆN BẠCH MAI GIAI ĐOẠN 2024-2025

Abstract

Ventilator-associated pneumonia (VAP) is a common nosocomial infection in intensive care units, accounting for 10–25% of hospitalized ICU patients and 25–50% of those receiving mechanical ventilation, with multidrug-resistant Gram-negative bacteria being the predominant pathogens. Appropriate initial antibiotic therapy plays a critical role in improving patient outcomes. Objectives: To identify the causative pathogens of VAP and some clinical, paraclinical characteristics, as well as the etiologies of ventilator-associated pneumonia at the Intensive Care Center of Bach Mai Hospital. Methods: A descriptive observational study was conducted on 237 patients undergoing endotracheal intubation or tracheostomy at the Intensive Center of Critical Care Medicine in of Bach Mai Hospital from August 2024 to July 2025. Results: The incidence of VAP was 21.5%, with an incidence density of 24.4 per 1,000 ventilator-days. The mean age of patients was 55.9 ± 17.4 years. The most common pathogen was Acinetobacter baumannii (35.5%), followed by Klebsiella pneumoniae and Klebsiella aerogenes. Conclusions: VAP at the Intensive Center of Critical Care Medicine in of Bach Mai Hospital is associated with high morbidity and mortality. Multidrug-resistant Gram-negative bacteria, particularly Acinetobacter baumannii, are the predominant pathogens.