CĂN NGUYÊN VI KHUẨN GÂY BỆNH VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI LIÊN QUAN THỞ MÁY TẠI TRUNG TÂM HỒI SỨC TÍCH CỰC BỆNH VIỆN BẠCH MAI GIAI ĐOẠN 2024 - 2025

Abstract

Objectives: To identify the causative pathogens of VAP and the rate of appropriate initial antibiotic therapy, and to evaluate treatment outcomes in patients with VAP. 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 most common pathogen was Acinetobacter baumannii (35.5%), followed by Klebsiella pneumoniae (17,7%) and Klebsiella aerogenes (14,5%). Appropriate initial antibiotic therapy was achieved in 43.1% of cases. The overall mortality due to VAP was 31.4%, higher in the late-onset group compared to the early-onset group. 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, and treatment outcomes are significantly influenced by the appropriateness of initial antibiotic therapy.