The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia
Background: Ventilator-Associated Pneumonia (VAP) is an undesired side effect of mechanical ventilation in intensive care units (ICUs). Aim: We evaluated whether endotracheal tubes with subglottic secretion drainage (SSD) would reduce the incidence of VAP among patients undergoing mechanical ventila...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Palacký University Olomouc, Faculty of Medicine and Dentistry
2017-12-01
|
| Series: | Biomedical Papers |
| Subjects: | |
| Online Access: | https://biomed.papers.upol.cz/artkey/bio-201704-0007_The_effect_of_subglottic_secretion_drainage_on_the_incidence_of_ventilator_associated_pneumonia.php |
| _version_ | 1818528331746770944 |
|---|---|
| author | Marta Walaszek Agnieszka Gniadek Malgorzata Kolpa Zdzislaw Wolak Alicja Kosiarska |
| author_facet | Marta Walaszek Agnieszka Gniadek Malgorzata Kolpa Zdzislaw Wolak Alicja Kosiarska |
| author_sort | Marta Walaszek |
| collection | DOAJ |
| description | Background: Ventilator-Associated Pneumonia (VAP) is an undesired side effect of mechanical ventilation in intensive care units (ICUs).
Aim: We evaluated whether endotracheal tubes with subglottic secretion drainage (SSD) would reduce the incidence of VAP among patients undergoing mechanical ventilation in an ICU.
Methods: The analysis of medical records of patients undergoing mechanical ventilation exceeding 48 h who were hospitalised in ICUs between 2007 and 2014 led to separating two groups of patients: those in whom no subglottic drainage was applied (NSSD) (records dating from 2007-2010) and those whose treatment involved endotracheal tubes with subglottic secretion drainage (SSD) (records dating from 2011-2014).
Results: Analysis of 1807 patients hospitalised in ICUs (804 NSSD patients and 1003 SSD patients). A difference was found in the frequency of VAP incidence between the groups (P<0.001). In the NSSD group as many as 84 cases were reported (incidence: 10.7%), and in the SSD group - 43 cases (incidence: 5.2%). The odds ratio (OR) and relative risk (RR) was 2.5. The probability of VAP was significantly higher in the NSSD group. The risk factors of VAP incidence (P<0.001) included the correlation between reintubation (R=0.271), tracheostomy (R=0.309) and bronchoscopy (R=0.316).
Conclusion: Use of endotracheal tubes with subglottic secretion drainage in patients in the ICU on mechanical ventilation significantly reduced the incidence of VAP. |
| first_indexed | 2024-12-11T06:48:24Z |
| format | Article |
| id | doaj.art-daf035b55b7f4da6ab4f44b664536c64 |
| institution | Directory Open Access Journal |
| issn | 1213-8118 1804-7521 |
| language | English |
| last_indexed | 2024-12-11T06:48:24Z |
| publishDate | 2017-12-01 |
| publisher | Palacký University Olomouc, Faculty of Medicine and Dentistry |
| record_format | Article |
| series | Biomedical Papers |
| spelling | doaj.art-daf035b55b7f4da6ab4f44b664536c642022-12-22T01:17:00ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212017-12-01161437438010.5507/bp.2017.041bio-201704-0007The effect of subglottic secretion drainage on the incidence of ventilator associated pneumoniaMarta Walaszek0Agnieszka Gniadek1Malgorzata Kolpa2Zdzislaw Wolak3Alicja Kosiarska4Sw. Lukasz Provincial Hospital in Tarnow, PolandDepartment of Nursing Management and Epidemiology Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, Cracow, PolandDepartment of Nursing, Institute of Health Sciences, State Higher Vocational School in Tarnow, PolandDepartment of Nursing, Institute of Health Sciences, State Higher Vocational School in Tarnow, PolandDepartment of Nursing, Institute of Health Sciences, State Higher Vocational School in Tarnow, PolandBackground: Ventilator-Associated Pneumonia (VAP) is an undesired side effect of mechanical ventilation in intensive care units (ICUs). Aim: We evaluated whether endotracheal tubes with subglottic secretion drainage (SSD) would reduce the incidence of VAP among patients undergoing mechanical ventilation in an ICU. Methods: The analysis of medical records of patients undergoing mechanical ventilation exceeding 48 h who were hospitalised in ICUs between 2007 and 2014 led to separating two groups of patients: those in whom no subglottic drainage was applied (NSSD) (records dating from 2007-2010) and those whose treatment involved endotracheal tubes with subglottic secretion drainage (SSD) (records dating from 2011-2014). Results: Analysis of 1807 patients hospitalised in ICUs (804 NSSD patients and 1003 SSD patients). A difference was found in the frequency of VAP incidence between the groups (P<0.001). In the NSSD group as many as 84 cases were reported (incidence: 10.7%), and in the SSD group - 43 cases (incidence: 5.2%). The odds ratio (OR) and relative risk (RR) was 2.5. The probability of VAP was significantly higher in the NSSD group. The risk factors of VAP incidence (P<0.001) included the correlation between reintubation (R=0.271), tracheostomy (R=0.309) and bronchoscopy (R=0.316). Conclusion: Use of endotracheal tubes with subglottic secretion drainage in patients in the ICU on mechanical ventilation significantly reduced the incidence of VAP.https://biomed.papers.upol.cz/artkey/bio-201704-0007_The_effect_of_subglottic_secretion_drainage_on_the_incidence_of_ventilator_associated_pneumonia.phpventilator-associated pneumonia (vap)subglottic secretion drainage (ssd)endotracheal tube (ett) |
| spellingShingle | Marta Walaszek Agnieszka Gniadek Malgorzata Kolpa Zdzislaw Wolak Alicja Kosiarska The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia Biomedical Papers ventilator-associated pneumonia (vap) subglottic secretion drainage (ssd) endotracheal tube (ett) |
| title | The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| title_full | The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| title_fullStr | The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| title_full_unstemmed | The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| title_short | The effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| title_sort | effect of subglottic secretion drainage on the incidence of ventilator associated pneumonia |
| topic | ventilator-associated pneumonia (vap) subglottic secretion drainage (ssd) endotracheal tube (ett) |
| url | https://biomed.papers.upol.cz/artkey/bio-201704-0007_The_effect_of_subglottic_secretion_drainage_on_the_incidence_of_ventilator_associated_pneumonia.php |
| work_keys_str_mv | AT martawalaszek theeffectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT agnieszkagniadek theeffectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT malgorzatakolpa theeffectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT zdzislawwolak theeffectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT alicjakosiarska theeffectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT martawalaszek effectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT agnieszkagniadek effectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT malgorzatakolpa effectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT zdzislawwolak effectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia AT alicjakosiarska effectofsubglotticsecretiondrainageontheincidenceofventilatorassociatedpneumonia |