Abstract

Study the incidence rate of VAP in tertiary care hospital. Implementation of VAP bundle. To decrease the incidence rate of VAP & Mortality associated with it. This prospective study was conducted in medical ICU of tertiary hospital. Prospective, observational, study was conducted in ICU for duration 1 year and 1 month. All the patients who required intubation and mechanical ventilation for> 48 hrs were eligible. VAP diagnosis was based on clinical radiographic and quantitative microbiologic of criteria. Seven major guidelines by CDC followed for daily observation of mechanically ventilated patients. Various strategies implemented too reduce VAP rates.The incidence rate of VAP in tertiary care hospital was 80% initially but after implementation it got reduce to 61.2% Overall compliance rate of VAP bundle ( CDC ) was found 88.5% after implementation of several preventive strategies. The result shows that motality rate can be reduce from 100% to 77.8% .We found that VAP rate can be reduced by implementing various preventive strategies. Though, it is difficult to implement all strategies in a specific hospital set up, but efforts can lead to save life of patients receiving mechanical ventilation. Implementation can reduce the infection by 12.2%.