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Updated: Jan 8, 2026

Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
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.
Abstract:
Ventilator-associated pneumonia (VAP) poses a major challenge in ICUs due to its high morbidity, mortality, and rising antimicrobial resistance. This observational study assessed microbial isolates, resistance patterns, and outcomes in 321 VAP cases out of 472 ventilated patients in a tertiary care hospital. Acinetobacter baumannii complex (33.33%) was the most common pathogen, with 97.01% showing multidrug resistance. The overall mortality rate among VAP patients was 45.79%. These findings highlight the urgent need for effective antibiotic stewardship and infection control strategies in ICU settings.
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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