HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

6th Edition of World Congress on Infectious Diseases

June 24-26, 2024 | Paris, France

June 24 -26, 2024 | Paris, France
Infection 2024

Stephanie Obienda Palacios

Speaker at Infection Conferences - Stephanie Obienda Palacios
West Visayas State University Medical Center, Philippines
Title : Risk factors associated with hospital acquired pneumonia (HAP) patients for getting intubated in a tertiary hospital: A prospective unmatched case-control study


Introduction: Hospital-acquired pneumonia (HAP) increases morbidity, mortality, and healthcare costs, thus additional epidemiologic studies are necessary to better understand the problem’s scope and develop interventions. Considering that HAP is an exogenous infection with nosocomial pathogens acquired from the hospital environment, evaluating hospital environment-related risk factors would be necessary. However, studies on hospital environment-associated risk factors for HAP are limited. In this analytic study, the association of risk factors and outcome of Hospital Acquired Pneumonias were determined.

Objective: This study evaluates different risk factors associated with Hospital-Acquired Pneumonia (HAP) resulting to intubation in a tertiary hospital in Iloilo City.
Methods: A prospective unmatched case-control study was conducted between August and October 2023 with 176 participants. Demographic and clinical characteristics were collected, with the presence of intubation as a clinical outcome. Odd’s ratios  and Poisson regression were used as statistical method.

Results:  Participants have a mean age of 53.76 years old. Being male increases the likelihood of developing HAP. Diabetes Mellitus, Hypertension, Dyslipidemia, Transaminitis, Malnourishment and Anemia are also significantly associated with increased risk of HAP. Length of hospital stay, presence of nasogastric tube, previous ICU admission, previous antibiotic use and antacid therapy indicates higher risk for HAP. The use of corticosteroids decreased risk of intubation by 99%. Previous exposure to mechanical ventilators are 53 times more likely to be re-intubated. Exposure to antacid therapy increased the risk of intubation by 9 times. Three microorganisms were observed to increase the risk of getting intubated: A.baumanii, E. cloacae, and Proteus spp.

Conclusion:  The factors associated with HAP identified may be used to improve surveillance and allow early diagnosis, treatment and prognosis. Optimal therapy may help prevent clinical outcomes such as intubation.  


Dr. Stephanie Obienda Palacios is currently the Chief Resident of Department of Internal Medicine in West Visayas State University Medical Center from the Philippines. She graduated BS Biology from the University of the Philippines Visayas and had her Medical Degree from West Visayas State University. She was awarded as the Young Investigator Awardee of Asia Pacific Society of Respirology at Seoul, Korea last 2022.