Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo

Authors

  • Laura Cardoso Brentini Universidade de Franca, Curso de Medicina
  • Eduardo César Silva Araújo Universidade de Franca, Curso de Medicina
  • Thais Haddad Silveira Universidade de Franca, Curso de Medicina
  • Nádia Bruna da Silva Negrinho Santa Casa de Franca
  • Maria Auxiliadora Mancilha Pedigone Universidade de Franca, Curso de Medicina
  • Marisa Afonso Andrade Brunherotti Universidade de Franca, Programa em Promoção de Saúde, Laboratório de Estratégia de Promoção de Saúde. http://orcid.org/0000-0002-8058-8523

DOI:

https://doi.org/10.17058/reci.v9i3.12869

Keywords:

Respiratory Tract Infections. Respiration, artificial. Pneumonia. Infection Control. Epidemiology.

Abstract

Background and Objectives: To assess the rate and incidence density of ventilator-associated pneumonia and to identify the most common etiological agents in the culture of tracheal secretion in an adult intensive care unit. Methods: Descriptive, cross-sectional, retrospective study with a quantitative approach, carried out from January 1st to December 31st, 2014, based on data on rates and incidence density of ventilator-associated pneumonia and isolated microorganisms found in tracheal secretion culture of patients admitted to the adult intensive care unit in a 12-month period. Results: The mean annual rate of ventilator-associated pneumonia was 5.5% and higher rates were found in the second semester. The mean incidence density was 17.97 ventilator-associated pneumonia/1000 patient-days on mechanical ventilation. Nine microorganisms isolated from tracheal secretion culture were identified. The most prevalent pathogens identified in this study were Klebsiella pneumoniae and Pseudomonas aeruginosa. Conclusion: The rate and incidence density of ventilator-associated pneumonia showed a non-expected increase each month for 3 months in a row during the study period. Real time surveillance and incidence oscillation must be valued to adjust sectoral strategies to protect the health of individuals undergoing treatment.

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Author Biography

Marisa Afonso Andrade Brunherotti, Universidade de Franca, Programa em Promoção de Saúde, Laboratório de Estratégia de Promoção de Saúde.

Programa em Promoção de Saúde da Universidade de Franca, Laboratório de Estratégias em Promoção da Saúde.

Published

2019-10-02

How to Cite

Brentini, L. C., Araújo, E. C. S., Silveira, T. H., Negrinho, N. B. da S., Pedigone, M. A. M., & Brunherotti, M. A. A. (2019). Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo. Revista De Epidemiologia E Controle De Infecção, 9(3). https://doi.org/10.17058/reci.v9i3.12869

Issue

Section

ORIGINAL ARTICLE