A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting
<p>Abstract</p> <p>Background</p> <p>Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with a high mortality.</p> <p>Methods</p> <p>A quasi-experimental study was conducted in a medical-su...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-09-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2334/12/234 |
| _version_ | 1819037022318231552 |
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| author | Caserta Raquel A Marra Alexandre R Durão Marcelino S Silva Cláudia Pavao dos Santos Oscar Neves Henrique Sutton Edmond Michael B Timenetsky Karina |
| author_facet | Caserta Raquel A Marra Alexandre R Durão Marcelino S Silva Cláudia Pavao dos Santos Oscar Neves Henrique Sutton Edmond Michael B Timenetsky Karina |
| author_sort | Caserta Raquel A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with a high mortality.</p> <p>Methods</p> <p>A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 to December 2010. All of these processes, including the Institute for Healthcare Improvement’s (IHI) ventilator bundle plus oral decontamination with chlorhexidine and continuous aspiration of subglottic secretions (CASS), were adopted for patients undergoing mechanical ventilation.</p> <p>Results</p> <p>We evaluated a total of 21,984 patient-days, and a total of 6,052 ventilator-days (ventilator utilization rate of 0.27). We found VAP rates of 1.3 and 2.0 per 1,000 ventilator days respectively in 2009 and 2010, achieving zero incidence of VAP several times during 12 months, whenever VAP bundle compliance was over 90%.</p> <p>Conclusion</p> <p>These results suggest that it is possible to reduce VAP rates to near zero and sustain these rates, but it requires a complex process involving multiple performance measures and interventions that must be permanently monitored.</p> |
| first_indexed | 2024-12-21T08:14:48Z |
| format | Article |
| id | doaj.art-87914321a92b4be3b3fc1f5644ce3f15 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-21T08:14:48Z |
| publishDate | 2012-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-87914321a92b4be3b3fc1f5644ce3f152022-12-21T19:10:35ZengBMCBMC Infectious Diseases1471-23342012-09-0112123410.1186/1471-2334-12-234A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care settingCaserta Raquel AMarra Alexandre RDurão Marcelino SSilva CláudiaPavao dos Santos OscarNeves Henrique SuttonEdmond Michael BTimenetsky Karina<p>Abstract</p> <p>Background</p> <p>Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with a high mortality.</p> <p>Methods</p> <p>A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 to December 2010. All of these processes, including the Institute for Healthcare Improvement’s (IHI) ventilator bundle plus oral decontamination with chlorhexidine and continuous aspiration of subglottic secretions (CASS), were adopted for patients undergoing mechanical ventilation.</p> <p>Results</p> <p>We evaluated a total of 21,984 patient-days, and a total of 6,052 ventilator-days (ventilator utilization rate of 0.27). We found VAP rates of 1.3 and 2.0 per 1,000 ventilator days respectively in 2009 and 2010, achieving zero incidence of VAP several times during 12 months, whenever VAP bundle compliance was over 90%.</p> <p>Conclusion</p> <p>These results suggest that it is possible to reduce VAP rates to near zero and sustain these rates, but it requires a complex process involving multiple performance measures and interventions that must be permanently monitored.</p>http://www.biomedcentral.com/1471-2334/12/234Ventilator associated pneumoniaPreventionIntensive careVAP bundle |
| spellingShingle | Caserta Raquel A Marra Alexandre R Durão Marcelino S Silva Cláudia Pavao dos Santos Oscar Neves Henrique Sutton Edmond Michael B Timenetsky Karina A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting BMC Infectious Diseases Ventilator associated pneumonia Prevention Intensive care VAP bundle |
| title | A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| title_full | A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| title_fullStr | A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| title_full_unstemmed | A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| title_short | A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| title_sort | program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting |
| topic | Ventilator associated pneumonia Prevention Intensive care VAP bundle |
| url | http://www.biomedcentral.com/1471-2334/12/234 |
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