ĐẶC ĐIỂM NHIỄM TRÙNG BỆNH VIỆN TẠI KHOA NHIỄM VIỆT ANH BỆNH VIỆN BỆNH NHIỆT ĐỚI

Abstract

Objective: Determine the frequency, describe the epidemiological, clinical, laboratory characteristics, distribution of microbiological agents and bacterial sensitivity of cases of ventilator-associated pneumonia (VAP) and catheter-associated urinary tract infection (CAUTI) in patients with invasive mechanical ventilation and catheterization admitted to the Viet Anh Department - Hospital for Tropical Diseases in 2022. Methods: Cross-sectional study with longitudinal follow-up of cases in adult patients over 16 years old intervention with mechanical ventilation and urinary catheter placement for more than 48 hours. Results: The VAP rate was 37/ 1000 ventilator days, the most common organism is P.aeruginosa, with a Piperacillin/Tazobactam sensitivity rate of 86%. Using intravenous antibiotics from the time of mechanical ventilation can reduce the risk of developing VAP (OR 0.18, 95% CI: 0.06-0.5.5 p=0.002). The CAUTI rate is 21/1000 urinary catheter days, the most common organism is E.coli, Carbapenem sensitivity rate is 85%, prolonged catheterization time and the number of catheterizations more than 2 times increase the risk of CAUTI (p<0.01). Conclusion: VAP and CAUTI in Viet Anh Department have a high frequency. Most of the isolated organisms are sensitive to currently used antibiotics. Shortening the time of invasive intervention can reduce the risk of hospital-acquired infections.