ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH NHÂN VIÊM PHỔI LIÊN QUAN THỞ MÁY ĐIỀU TRỊ TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection and the leading cause of death in intensive care units. Studying clinical and subclinical characteristics of patients with VAP makes an important contribution to early detection, selection of appropriate initial antibiotic treatment, and reduction of complications and mortality for patients. A cross-sectional descriptive study was conducted to describe the clinical and subclinical characteristics of patients with VAP treated at Hanoi Medical University Hospital. 162 patients were selected for the study. Information was collected from medical records or family members according to the medical record form of the research. The results showed that the average age of the patients in the study was 65.8±17.2 years old. The average time of occurrence of VAP is 5.5±2.4 days, late VAP accounted for 58.0%. Clinical symptoms when the VAP occured were fever ≥ 38⁰C (75.3%), pulmonary rales (88.9%), increased secretion of sputum/cloudy sputum (95.1%). Subclinical symptoms when VAP appeared were leukocytosis over 12x10⁹/L (79.0%), Pro-calcitonin increased over 0.5ng/mL (89.5%) and X-ray image of diffuse infiltrative lung (42.6%) and pulmonary coagulation (31.5%).