الفهرس 
Healthcare-Associated InfectionOnly 14 pages are availabe for public view
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Abstract
Introduction: Ventilator-associated pneumonia (VAP), a subset of HAP that occurs in mechanically ventilated patients more than 48 hours after tracheal intubation, is the most frequent ventilator-associated complication. Outside the ICU, highest rates are observed in the elderly, immunocompromised hosts, surgical patients and those receiving enteral feeding through a nasogastric tube
Aim of the work: This works was aimed to assess the impact of an infection control program focusing on enteral feeding on VAP rates.
Material and methods: Baseline surveillance for VAP was done to detect the size of VAP as a problem and its relation to other device associated infection. Baseline assessment for infection control practices was performed. Also samples from Ryle and BAL were collected and cultured for microbiological diagnosis of VAP
Results: The patient days were 970 ICU bed days for mechanical ventilation. In this study, the incidence of patient infection was 41.2 per 1000 ventilator days. Cultured samples from Ryle and BAL reveled 65% of BAL specimens have uncountable growth while 92.5% of rayle sample have uncountable growth. Candida and Pseudomonas were the most frequent organisms that occur in BAL (23.1%) each while Klebsiella was the most frequent microorganism found in the Ryle Tube (27.0%), followed by Pseudomonas & Ecoli (16.2% & 13.5%) respectively.
Conclusion: Poor compliance of ventilator bundle application and poor adherence to standard precautions for infection prevention and control is an important factor in non decline in VAP rates which is a complex process that requires multiple performance measures and interventions.