Antimicrobial resistance patterns and clinical outcomes in ventilator-associated pneumonia

Urvashi Krunalkumar Sharma1, Atit Dineshchandra Shah2

  • 1Department of Microbiology, Dr. N D Desai Faculty of Medical Science and Research, Dharmsinh Desai University, Nadiad, Gujarat, India.

Bioinformation
|December 15, 2025
PubMed

Insights

Ventilator-associated pneumonia (VAP) is a critical ICU issue. Acinetobacter baumannii, often multidrug-resistant, was the most common pathogen, contributing to a high VAP mortality rate.

Area of Science:

  • Infectious Diseases
  • Critical Care Medicine
  • Microbiology

Background:

  • Ventilator-associated pneumonia (VAP) presents significant challenges in intensive care units (ICUs).
  • High rates of morbidity, mortality, and increasing antimicrobial resistance complicate VAP management.
  • Effective infection control and antibiotic stewardship are crucial in ICU settings.

Purpose of the Study:

  • To investigate the spectrum of microbial pathogens causing VAP.
  • To determine the antimicrobial resistance patterns of isolated microorganisms.
  • To assess the clinical outcomes, including mortality, in VAP patients.

Main Methods:

  • An observational study design was employed.
  • Data were collected from 472 ventilated patients, with 321 diagnosed with VAP.
  • Microbial isolates, resistance patterns, and patient outcomes were analyzed.

Main Results:

  • The Acinetobacter baumannii complex was the predominant pathogen, identified in 33.33% of cases.
  • A high prevalence of multidrug resistance (97.01%) was observed among the isolates.
  • The overall mortality rate for VAP patients was alarmingly high at 45.79%.

Conclusions:

  • Acinetobacter baumannii is a leading cause of VAP in this tertiary care setting.
  • The extensive multidrug resistance necessitates urgent reassessment of treatment protocols.
  • Enhanced antibiotic stewardship and robust infection control measures are imperative to reduce VAP-associated mortality.

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