بررسي عفونت پنوموني در بيماران جراحي شده بستري در بخش مراقبت هاي ويژه

Postoperative pneumonia in ICU admitted patients

Background: Postoperative pulmonary complications are associated with relative morbidity and mortality. Ventilator associated pneumonia (VAP) is an special type of hospital acquaried pneumonia that occurs during 48 hrs after starting of mechanical ventilation. It has a great financial load to the health care systems. In order to the importance of this problem (cost), this study was done to evaluate the epidemiology and incidence of hospital acquired peneumonia in ICU admitted patients. Materials and methods: This was a cross-sectional study with descriptive and analytic features that was done in Sina Hospital ICU ward during 1384 to 1385. Information was collected by information sheat. The patients without pneumonia, other infections and negative blood culture entered the study. Cases were the patients that were undergone elective or emergency surgery and also under mechanical ventilation. Informations were analysed by SPSS, (percentile description for the descriptive part and & 2 and T test for the analytic part.) Results: Patients average age was 57±3.1, 55 male (68%) and 25 female (32%). GCS average was 8, average APACHE score and GCS at the beginning of study, but significant difference was seen at the end of the study (p<0.05). Conclusion: The incidence of ventilation associated pneumonia in post operative patients was high and pay attention to this important matter, can decrease the risk of the disease.