In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia

Objective: Intensive care units are high risk units for serious infections like ventilator associated pneumonia. Preventing ventilator associated pneumonia is one of the most important infection control practice in intensive care units. In this study, it was aimed to investigate the effect of...

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Main Authors: Semiha Solak Grassie, Sümeyra Çetin Gevrek, Dilber Kumral
Format: Article
Language:English
Published: Galenos Yayinevi 2016-04-01
Series:Türk Yoğun Bakim Derneği Dergisi
Subjects:
Online Access:http://www.yogunbakimderg.com/makale_10426/Yogun-Bakim-Unitemizde-Ventilator-Iliskili-Pnomoni-Gelismesini-Onlemek-Amacli-Kontrol-Listesi-Kullanimi-Deneyimi
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author Semiha Solak Grassie
Sümeyra Çetin Gevrek
Dilber Kumral
author_facet Semiha Solak Grassie
Sümeyra Çetin Gevrek
Dilber Kumral
author_sort Semiha Solak Grassie
collection DOAJ
description Objective: Intensive care units are high risk units for serious infections like ventilator associated pneumonia. Preventing ventilator associated pneumonia is one of the most important infection control practice in intensive care units. In this study, it was aimed to investigate the effect of the ventilator associated pneumonia prevention checklist use in decreasing ventilator associated pneumonia rates. Material and Method: This study was performed in the intensive care units at Yenimahalle Training and Research Hospital between January 2013 and September 2013. In the first 3 months, the routine infection control measurements were used. At the end of this term a lecture about using the checklist was given to the nurses. At the second 3 months period, the checklist was filled by each patient’s nurse. At the last 3 months period there was no checklist use. The ventilator associated pneumonia rates were registered in all these terms. After and before the intervention term tests about ventilator associated pneumonia prevention with 20 questions were given to the nurses. Results: Between January to March 2013, at the first 3 months, ventilator associated pneumonia rate was 38.2%; at the second term, it was 7.4%; at the third term, it was 3.8%. At the front test, the nurses got 84.5 point success rate and at the last test, the rate was 92.6. The success rate differences between these two tests were statistically significant with the Wilcoxon test (z-3.4, p=0.001). Conclusion: At the end of this study, despite any changes in the other routine and patient population, it was seen that there were obvious decrease in the ventilator associated pneumonia rates during the intervention term and the term after the intervention. Also the checklist use increased the nurses’ knowledge level about the ventilator associated pneumonia prevention and hand hygiene adherence rate.
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spelling doaj.art-27bd1275aa4b4c629b6ac935cd215b392023-02-15T16:22:20ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2016-04-01141131710.4274/tybdd.63644In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated PneumoniaSemiha Solak Grassie0Sümeyra Çetin Gevrek1Dilber Kumral2Yıldırım Beyazıt Üniversitesi, Yenimahalle Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, TürkiyeYıldırım Beyazıt Üniversitesi, Yenimahalle Eğitim ve Araştırma Hastanesi, Enfeksiyon Kontrol Kliniği, Ankara, TürkiyeYıldırım Beyazıt Üniversitesi, Yenimahalle Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, Ankara, TürkiyeObjective: Intensive care units are high risk units for serious infections like ventilator associated pneumonia. Preventing ventilator associated pneumonia is one of the most important infection control practice in intensive care units. In this study, it was aimed to investigate the effect of the ventilator associated pneumonia prevention checklist use in decreasing ventilator associated pneumonia rates. Material and Method: This study was performed in the intensive care units at Yenimahalle Training and Research Hospital between January 2013 and September 2013. In the first 3 months, the routine infection control measurements were used. At the end of this term a lecture about using the checklist was given to the nurses. At the second 3 months period, the checklist was filled by each patient’s nurse. At the last 3 months period there was no checklist use. The ventilator associated pneumonia rates were registered in all these terms. After and before the intervention term tests about ventilator associated pneumonia prevention with 20 questions were given to the nurses. Results: Between January to March 2013, at the first 3 months, ventilator associated pneumonia rate was 38.2%; at the second term, it was 7.4%; at the third term, it was 3.8%. At the front test, the nurses got 84.5 point success rate and at the last test, the rate was 92.6. The success rate differences between these two tests were statistically significant with the Wilcoxon test (z-3.4, p=0.001). Conclusion: At the end of this study, despite any changes in the other routine and patient population, it was seen that there were obvious decrease in the ventilator associated pneumonia rates during the intervention term and the term after the intervention. Also the checklist use increased the nurses’ knowledge level about the ventilator associated pneumonia prevention and hand hygiene adherence rate.http://www.yogunbakimderg.com/makale_10426/Yogun-Bakim-Unitemizde-Ventilator-Iliskili-Pnomoni-Gelismesini-Onlemek-Amacli-Kontrol-Listesi-Kullanimi-DeneyimiVentilator associated pneumoniainfection controlchecklist
spellingShingle Semiha Solak Grassie
Sümeyra Çetin Gevrek
Dilber Kumral
In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
Türk Yoğun Bakim Derneği Dergisi
Ventilator associated pneumonia
infection control
checklist
title In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
title_full In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
title_fullStr In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
title_full_unstemmed In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
title_short In Our Intensive Care Unit the Experience of the Checklist Use to Prevent Ventilator Associated Pneumonia
title_sort in our intensive care unit the experience of the checklist use to prevent ventilator associated pneumonia
topic Ventilator associated pneumonia
infection control
checklist
url http://www.yogunbakimderg.com/makale_10426/Yogun-Bakim-Unitemizde-Ventilator-Iliskili-Pnomoni-Gelismesini-Onlemek-Amacli-Kontrol-Listesi-Kullanimi-Deneyimi
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AT dilberkumral inourintensivecareunittheexperienceofthechecklistusetopreventventilatorassociatedpneumonia