ปอดอักเสบจากการใช้เครื่องช่วยหายใจ ในหอผู้ป่วยหนักอายุรกรรม โรงพยาบาลพหลพลพยุหเสนา

บทคัดย่อ

          A retrospective study of 248 cases of mechanically ventilated adult patients in Medical Intensive Care Unit at Paholpclpayuhasaena Hospital during 1^st January to 31^st  December 2004. Ventilator-Associated Pneumonia was diagnosed by clinical diagnostic criteria. VAP was diagnosed in 61 patients. The incidence of VAP was 24.6%, incidence density was 26.1/1,000 ventilator-days. Mortality rate was 76.2%. Causative organisms were multi-drug resistant gram negative bacteria in large percentage. The mortality rate of the group that received appropriate empirical antibiotic was less than the group that received inappropiate empirical antibiotic but was not reach statistical significance and mortality rate of the group that received empirical antibiotic follow through or not follow through the guideline of American Thoracic Society and Infectious Diseases Society of America 2005 were not difference.