The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review
Ventilator-associated pneumonia (VAP) remains a common risk in mechanically ventilated patients. Different care bundles have been proposed to succeed VAP reduction. We aimed to identify the combined interventions that have been used to by ICUs worldwide from the implementation of “Institute for Heal...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/12/2/227 |
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| author | Maria Mastrogianni Theodoros Katsoulas Petros Galanis Anna Korompeli Pavlos Myrianthefs |
| author_facet | Maria Mastrogianni Theodoros Katsoulas Petros Galanis Anna Korompeli Pavlos Myrianthefs |
| author_sort | Maria Mastrogianni |
| collection | DOAJ |
| description | Ventilator-associated pneumonia (VAP) remains a common risk in mechanically ventilated patients. Different care bundles have been proposed to succeed VAP reduction. We aimed to identify the combined interventions that have been used to by ICUs worldwide from the implementation of “Institute for Healthcare Improvement Ventilator Bundle”, i.e., from December 2004. A search was performed on the PubMed, Scopus and Science Direct databases. Finally, 38 studies met our inclusion criteria. The most common interventions monitored in the care bundles were sedation and weaning protocols, semi-recumbent positioning, oral and hand hygiene, peptic ulcer disease and deep venus thrombosis prophylaxis, subglottic suctioning, and cuff pressure control. Head-of-bed elevation was implemented by almost all studies, followed by oral hygiene, which was the second extensively used intervention. Four studies indicated a low VAP reduction, while 22 studies found an over 36% VAP decline, and in ten of them, the decrease was over 65%. Four of these studies indicated zero or nearly zero after intervention VAP rates. The studies with the highest VAP reduction adopted the “IHI Ventilator Bundle” combined with adequate endotracheal tube cuff pressure and subglottic suctioning. Multifaced techniques can lead to VAP reduction at a great extent. Multidisciplinary measures combined with long-lasting education programs and measurement of bundle’s compliance should be the gold standard combination. |
| first_indexed | 2024-03-11T09:15:13Z |
| format | Article |
| id | doaj.art-a4b03d07769e4c80948c143b99846be9 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-11T09:15:13Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-a4b03d07769e4c80948c143b99846be92023-11-16T18:41:59ZengMDPI AGAntibiotics2079-63822023-01-0112222710.3390/antibiotics12020227The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic ReviewMaria Mastrogianni0Theodoros Katsoulas1Petros Galanis2Anna Korompeli3Pavlos Myrianthefs4Department of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou Str, Goudi, 11527 Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou Str, Goudi, 11527 Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou Str, Goudi, 11527 Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou Str, Goudi, 11527 Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou Str, Goudi, 11527 Athens, GreeceVentilator-associated pneumonia (VAP) remains a common risk in mechanically ventilated patients. Different care bundles have been proposed to succeed VAP reduction. We aimed to identify the combined interventions that have been used to by ICUs worldwide from the implementation of “Institute for Healthcare Improvement Ventilator Bundle”, i.e., from December 2004. A search was performed on the PubMed, Scopus and Science Direct databases. Finally, 38 studies met our inclusion criteria. The most common interventions monitored in the care bundles were sedation and weaning protocols, semi-recumbent positioning, oral and hand hygiene, peptic ulcer disease and deep venus thrombosis prophylaxis, subglottic suctioning, and cuff pressure control. Head-of-bed elevation was implemented by almost all studies, followed by oral hygiene, which was the second extensively used intervention. Four studies indicated a low VAP reduction, while 22 studies found an over 36% VAP decline, and in ten of them, the decrease was over 65%. Four of these studies indicated zero or nearly zero after intervention VAP rates. The studies with the highest VAP reduction adopted the “IHI Ventilator Bundle” combined with adequate endotracheal tube cuff pressure and subglottic suctioning. Multifaced techniques can lead to VAP reduction at a great extent. Multidisciplinary measures combined with long-lasting education programs and measurement of bundle’s compliance should be the gold standard combination.https://www.mdpi.com/2079-6382/12/2/227ventilator-associated pneumoniacare bundlesintensive care unitsprevention |
| spellingShingle | Maria Mastrogianni Theodoros Katsoulas Petros Galanis Anna Korompeli Pavlos Myrianthefs The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review Antibiotics ventilator-associated pneumonia care bundles intensive care units prevention |
| title | The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review |
| title_full | The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review |
| title_fullStr | The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review |
| title_full_unstemmed | The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review |
| title_short | The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review |
| title_sort | impact of care bundles on ventilator associated pneumonia vap prevention in adult icus a systematic review |
| topic | ventilator-associated pneumonia care bundles intensive care units prevention |
| url | https://www.mdpi.com/2079-6382/12/2/227 |
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