Prevention and management of ventilator-associated pneumonia: A survey on current practices by intensivists practicing in the Indian subcontinent
2011

Survey on Ventilator-Associated Pneumonia Practices in India

Sample size: 126 publication Evidence: moderate

Author Information

Author(s): Deven Singh Juneja, Omender Javeri, Yash Arora, Vikas Dang, Rohit Kaushal, Anjali

Primary Institution: Max Super Speciality Hospital, Saket, New Delhi, India

Hypothesis

How is ventilator-associated pneumonia managed by intensivists in the Indian subcontinent?

Conclusion

Most intensivists adhere to evidence-based guidelines for managing ventilator-associated pneumonia, but there are still areas needing improvement.

Supporting Evidence

  • 96.8% of intensivists reported using VAP bundles.
  • Head elevation was included by 98.4% of respondents.
  • 84.1% believed VAP contributes to increased mortality.
  • 39.7% used proton pump inhibitors for stress ulcer prophylaxis.
  • 65.9% considered adding empirical MRSA coverage in high-risk patients.

Takeaway

Doctors in India mostly follow good practices to prevent pneumonia in patients on ventilators, but some things could be done better.

Methodology

A survey using a 10-point questionnaire distributed to intensivists at a conference.

Limitations

The survey may not represent practices outside New Delhi and nearby areas.

Participant Demographics

Participants included intensivists from India, Nepal, and Sri Lanka, with a majority from New Delhi.

Digital Object Identifier (DOI)

10.4103/0019-5049.79889

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