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RATE OF OCCURRENCE OF HOSPITAL ATTAINED PNEUMONIA AND ITS DIFFERNET ETIOLOGICAL ORGANISMS

Dr Maryam Iqbal, Dr Zamurd, Dr Fatima Iqbal

Objective: The aim of this study is to evaluate the rate of occurrence of Hospital Attained Pneumonia among patients who got admission in ICU (Intensive Care Unit) and to assess the rate of occurrence of various etiological organisms in such patients. Methodology: This study was transverse research work which was carried out in the ICU of Indus Hospital, Lahore from March 2018 to December 2019. A sum of total 1866 patients got admission in the Medicine Department including the Medical intensive care unit. All of these patients underwent evaluation for hospital attained pneumonia and then we cultured the contributory organisms from the patients. We performed the detection of the organisms by their standard biochemical profile. Results: There were total 346 patients who got admission in medical intensive care unit. We diagnosed hospital attained pneumonia in 25.4% (n: 88) patients. Mean age of the patients who got admission in the medical intensive care unit was 48 years with a range of age from 16 to 82 years. There were total fifty-six males and thirty-two female patients. Total 47.7% (n: 42) patients died in medical intensive care unit suffering from hospital attained pneumonia. Microbiological assessment displayed that Pseudomonas aeruginosa were in 30.6% (n: 27), Acinetobacter spp. were in 13.6% (n: 12), Candida albicans were in 13.6% (n: 12), Klebsiella pneumonia were also in 10.2% (n: 9), Streptococcus spp. were in 10.2% (n: 9), Escherichia coli were in 5.6% (n: 5), Stenotrophomonas spp. were in 4.5% (n: 4), Methicillin Resistant S. Aureus were in 4.5% (n: 4) and other remaining organisms in 6.8% (n: 6). Conclusion: Rate of occurrence of hospital attained pneumonia in the medical intensive care unit of our institute 25.4% (n: 88). The most common detected organism was P. aeruginosa (30.6%) followed by Acinetobacter and C. albicans (13.6% each). KEY WORDS: Hospital Attained Pneumonia, Microbiological, Assessment, Intensive Care Unit, Organisms.