PNEUMONIA ASOCIATĂ VENTILAŢIEI MECANICE LA PREMATURUL CU GREUTATE MICĂ LA NAŞTERE.

Ventilation associated pneumonia (VAP) is a nosocomial pneumonia occurring after 48 hours of mechanical ventilation. VAP incidence is between 5-40%. We aimed to identify the risk factors associated with VAP in premature infants below 32 weeks gestation and to implement a project to improve medical care. The study was conducted over a period of 20 months in a NICU and included 105 newborns. Diagnostic criteria were clinical, bacteriological and radiological. The incidence of VAP in 2009 was 30% and 23% in 2010. There were 6 deaths in 2009 and 2 deaths in 2010. The need for another intubation was the most important risk factor for VAP. The most common organism isolated in cultures from the endotracheal tube was Klebsiella spp. The new preventive strategies reduced the incidence and morbidity of VAP. Prospective studies are needed to confirm these results [ABSTRACT FROM AUTHOR]