الفهرس | Only 14 pages are availabe for public view |
Abstract Ventilator associated pneumonia (VAP) is the second most common nosocomial infection in the neonatal intensive care unit and is associated with major morbidity and mortality . Difficulties in diagnosis of VAP have led to the development of many diagnostic techniques such as broncho alveolar lavage, protected specimen brush and quantitative endotracheal aspirates. Routine empirical antibiotics are inadvisable; so when VAP is suspected, a respiratory specimen and blood culture should be taken without delay, and it is vital to begin early appropriate antimicrobials while culture results are pending, the choice of antimicrobial agent depends on local prevalence of the pathogenic agents, antimicrobial resistance patterns, and patient specific factors. Prospective study was performed in the NICU of Pediatric department, Tanta University to detect the prevalence, risk factors, causative microorganisms and outcome of neonatal VAP in preterm and full-term neonates. The study was conducted over a period of twelvemonths from January 2014 to January 2015. In our study, the total number of cases was 90 cases, 60 cases of them were clinically suspected to have VAP according to CDC criteria so investigated, the other 30 cases not received mechanical ventilation and admitted to NICU due to various. |