Annals of Indian Academy of Neurology
ORIGINAL ARTICLE
Year
: 2016  |  Volume : 19  |  Issue : 1  |  Page : 69--73

Ventilators in ICU: A boon or burden


Man Mohan Mehndiratta1, Rajeev Nayak2, Sana Ali3, Ajay Sharma4, Natasha Singh Gulati5 
1 Department of Neurology, Janakpuri Super Speciality Hospital, Janakpuri, New Delhi, India
2 Department of Neurology, GB Pant Hospital, New Delhi, India
3 Department of Microbiology, Janakpuri Super Speciality Hospital, Janakpuri, New Delhi, India
4 Department of Neurosurgery, GB Pant Hospital, New Delhi, India
5 Institute of Liver and Biliary Sciences, New Delhi, India

Correspondence Address:
Man Mohan Mehndiratta
Janakpuri Super Speciality Hospital, C-2/B, Janakpuri, New Delhi - 110 058
India

Background and Aims: Ventilator-associated pneumonia (VAP) is a major challenge in intensive care units (ICUs). This challenge is even more discernible in a neurological setting owing to the predispositions of patients. Data on VAP in the neurology and neurosurgery ICUs (NNICUs) are scanty in developing countries. This study was conducted to find out the occurrence of VAP, its risk factors, microbiological profile, and antibiotic resistance in patients admitted to the NNICU of a tertiary care institute in India. Materials and Methods: Endotracheal aspirate and blood samples were collected from 100 patients admitted to the NNICU. Complete blood count, microscopic examination, culture and sensitivity testing of aspirate were done. Chest x-ray was also performed to aid in the diagnosis of VAP. Results: Incidence rate of VAP was found to be 24%. Acinetobacter baumannii was the most common pathogen (24.3%) isolated from patients with VAP, and all of these isolates were sensitive to meropenem. Duration of mechanical ventilation (P < 0.0001) and associated comorbid illness (P = 0.005) were found to be significantly associated with VAP, and the duration of mechanical ventilation was found to be the only independent risk factor (P < 0.0001). Conclusions: This study highlights the risks and microbiological perspective of ventilator use among neurology patients so that adequate preventive strategies can be adopted on time.


How to cite this article:
Mehndiratta MM, Nayak R, Ali S, Sharma A, Gulati NS. Ventilators in ICU: A boon or burden.Ann Indian Acad Neurol 2016;19:69-73


How to cite this URL:
Mehndiratta MM, Nayak R, Ali S, Sharma A, Gulati NS. Ventilators in ICU: A boon or burden. Ann Indian Acad Neurol [serial online] 2016 [cited 2020 Sep 26 ];19:69-73
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=1;spage=69;epage=73;aulast=Mehndiratta;type=0