Ventilator-Associated Pneumonia (VAP)
Conditions
Brief summary
Evaluate efficacy and safety of prophylactic antibiotics in preventing early ventilator-associated pneumonia
Interventions
Beta lactam cefipim infusion (20mg/kg -12h -2 days ) total volume 10 ml
Patient will receive .9 % saline (10ml /12h/2days)
Sponsors
Study design
Intervention model description
Efficacy of prophylactic antibiotic against vent.associated pneumonia
Eligibility
Inclusion criteria
* • Age \> 18 years or older * Both sexes will be included. * Invasive mechanical ventilation
Exclusion criteria
* ongoing pneumonia or gross aspiration confirmed by the presence of lung infiltrates on chest radiographs at admission before invasive ventilation * previous lung disease precluding accurate interpretation of chest radiographs * ongoing antibiotic therapy or during the week before admission * known chronic colonization with multidrug-resistant bacteria * known allergy to beta-lactam antibiotics * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ventilation associated pneumonia | from the 2nd to the 7th day of mechanical ventilation | The primary outcome is the proportion of patients who will develop VAP (radiology, TLC, temperature, hemodynamic, sputum culture )from the 2nd to the 7th day of mechanical ventilation |
Countries
Egypt