The cause of disease isolated to 53.4% was extensive resistance in which the most common VAP was A Baumanii (43.9%), CAUTI was C albicans (34.3%), E Coli (8, 6%) and K pneumoniae (8.6%), CLABSI is K pneumoniae (13.8%), S aureus (13.8%), C tropicalis (13.8%), C albicans (13.8%).