Research Article

Epidemiology and Outcome of Ventilator-Associated Pneumonia in a Heterogeneous ICU Population in Qatar

Table 1

Clinical data of patients admitted with VAP.

CharacteristicMICU
= 27 (%)
SICU
= 27 (%)
TICU
= 52 (%)
Overall
= 106 (%)

Age (mean ± SD) (years)57.9 ± 16.253.1 ± 15.937.3 ± 16.446.6 ± 18.6

Gender
 Male17 (63)21 (77.8)47 (90.4)85 (80.2)
 Female10 (37)6 (22.2)5 (9.6)21 (19.8)

Ethnicity
 Qatari10 (37)6 (22.2)15 (28.8)31 (29.2)
 African2 (7.4)5 (18.5)7 (13.5)14 (13.2)
 Indian subcontinent12 (44.4)13 (48.1)22 (42.3)47 (44.3)
 Southeast Asians005 (9.6)5 (4.7)
 Others3 (11.2)3 (11.2)3 (5.8)9 (8.5)

Comorbidities
 Diabetes mellitus12 (44.4)11 (40.7)7 (13.5)30 (28.3)
 Hypertension15 (55.6)13 (48.1)8 (15.4)36 (34)
 Cardiovascular disease6 (22.2)6 (22.2)3 (5.8)15 (14.2)
 Renal disease3 (11.1)2 (7.4)2 (3.8)7 (6.6)
 Neurological condition6 (22.2)1 (3.7)07 (6.6)
 Respiratory disease5 (18.5)3 (11.1)2 (3.8)10 (9.4)
 Hepatic disease4 (14.8)2 (7.4)2 (3.8)8 (7.5)
 Malignancy1 (3.7)3 (11.1)1 (1.9)5 (4.7)

Smoker8 (29.6)9 (33.3)3 (5.8)20 (18.9)

Functional status
 Ambulatory20 (74)25 (92.6)52 (100)97 (91.5)
 Bed bound7 (26)2 (7.4)09 (8.5)

Source of admission
 Emergency room10 (37)11 (40.7)48 (92.3)69 (65.1)
 Ward (medical/surgical)15 (55.6)11 (40.7)026 (24.5)
 Operation room04 (14.9)04 (3.8)
 Other hospitals 2 (7.4)1 (3.7)4 (7.7)7 (6.6)

Admission diagnosis
 Head trauma0012 (23.1)12 (11.3)
 Polytrauma0039 (75)39 (36.8)
 Respiratory failure11 (40.7)3 (11.1)014 (13.2)
 Sepsis4 (14.9)8 (29.6)012 (11.3)
 Neurological disease10 (37)9 (33.3)1 (1.9)20 (18.9)
 Cardiovascular disease02 (7.4)02 (1.9)
 Intra-abdominal disease1 (3.7)4 (14.8)05 (4.7)
 Miscellaneous1 (3.7)1 (3.7)02 (1.9)

SOFA score (mean ± SD)7.8 ± 3.0 5.7 ± 3.36.2 ±3.4 6.5 ± 3.4

Duration of mechanical ventilation before developing VAP (mean ± SD) (days)17.0 ± 11.911.4 ± 9.89.5 ± 6.811.9 ± 9.5

Inappropriate antibiotic therapy10 (37)8 (29.6)5 (9.6)23 (21.7)

SOFA: Sequential Organ Failure Assessment.