Introduction:ventilator- associated pneumonia(VAP),as defined by the centers for disease control and prevention (CDC),is a pneumonia that occurs in a patient receiving mechanical ventilation that develops 48 hours or more after initiation of ventilation.re-intubation which occur within 72 hours of planned extubation may effect VAP incidence.the aim of this study was to determine VAP incidence in re-intubated patients in comparision with patients underwent intubation without re-intubation to highlight re-intubation as a risk factor for VAP . Methods and materials: 1230 intubated patients ,admitted to PICU department were enrolled in this cohort observational study consecutively from may 2010 to may 2014.VAP was clinically suggested and confirmed by chest x-ray .patients demographic data,underlying disease,duration of mechanical ventilationlength of picu stayand re-intubations were recorded prospectively. This study was approved by the institute,s ethics committee. Results: 336 intubated patients out of 1230 patients admitted to PICU department developed VAP(27%) with higher incidence in reintubated patients(30% vs 12%). Conclusion: VAP developed in nearly one third of intubated patients in our study.re-intubation was significant risk factor for development of VAP.
Bilan, N. and Habibi, P. (2015). Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?. Journal of Pediatric Perspectives, 3(1.1), 411-415. doi: 10.22038/ijp.2015.3774
MLA
Bilan, N. , and Habibi, P. . "Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?", Journal of Pediatric Perspectives, 3, 1.1, 2015, 411-415. doi: 10.22038/ijp.2015.3774
HARVARD
Bilan, N., Habibi, P. (2015). 'Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?', Journal of Pediatric Perspectives, 3(1.1), pp. 411-415. doi: 10.22038/ijp.2015.3774
CHICAGO
N. Bilan and P. Habibi, "Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?," Journal of Pediatric Perspectives, 3 1.1 (2015): 411-415, doi: 10.22038/ijp.2015.3774
VANCOUVER
Bilan, N., Habibi, P. Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?. Journal of Pediatric Perspectives, 2015; 3(1.1): 411-415. doi: 10.22038/ijp.2015.3774