Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial

Objective: Despite the standard guideline recommendations to prevent ventilator-associated pneumonia (VAP), it has remained one of the common lung infections in the intensive care unit (ICU). This clinical trial was designed to evaluate the effect of HemoHIM®, a mixture of traditional Korean medicin...

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Main Authors: Ghazal Khamooshpour, Hossein Mahjubipour, Shadi Farsaei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Research in Pharmacy Practice
Subjects:
Online Access:http://www.jrpp.net/article.asp?issn=2319-9644;year=2023;volume=12;issue=2;spage=58;epage=63;aulast=Khamooshpour
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author Ghazal Khamooshpour
Hossein Mahjubipour
Shadi Farsaei
author_facet Ghazal Khamooshpour
Hossein Mahjubipour
Shadi Farsaei
author_sort Ghazal Khamooshpour
collection DOAJ
description Objective: Despite the standard guideline recommendations to prevent ventilator-associated pneumonia (VAP), it has remained one of the common lung infections in the intensive care unit (ICU). This clinical trial was designed to evaluate the effect of HemoHIM®, a mixture of traditional Korean medicinal plants, on preventing VAP in ICU patients. Methods: This randomized controlled clinical trial was conducted on mechanically ventilated adult ICU patients with a clinical pulmonary infection score of VAP ≤6 in the first 48 h of ventilation. Patients in the intervention group received a packet of HemoHIM daily and orally for 7 days in addition to standard prevention strategies. However, in the control group, only standard prevention strategies were carried out. All patients were followed daily for VAP incidence for 14 days. Findings: The overall VAP incidence was 36.4 and 57.4 episodes per 1000 days of mechanical ventilation in the intervention and control groups, respectively (P = 0.041; odds ratio = 0.26; 95% confidence interval = 0.070–0.944). The median length of mechanical ventilation during study follow-up was significantly lower in the intervention than in the control group (P = 0.033). The number of pneumonia-free days during the study was considerably higher in the intervention group (P value of the log-rank test = 0.023). Conclusion: According to the results of this study, the HemoHIM herbal supplement had beneficial effects in preventing the occurrence of VAP and significantly reduced the incidence of pneumonia in the intervention group. Further comprehensive research is required to draw more accurate conclusions.
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spelling doaj.art-daf548fddae34cabbbe20fe2d99829d32024-03-25T12:58:04ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2023-01-01122586310.4103/jrpp.jrpp_9_23Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trialGhazal KhamooshpourHossein MahjubipourShadi FarsaeiObjective: Despite the standard guideline recommendations to prevent ventilator-associated pneumonia (VAP), it has remained one of the common lung infections in the intensive care unit (ICU). This clinical trial was designed to evaluate the effect of HemoHIM®, a mixture of traditional Korean medicinal plants, on preventing VAP in ICU patients. Methods: This randomized controlled clinical trial was conducted on mechanically ventilated adult ICU patients with a clinical pulmonary infection score of VAP ≤6 in the first 48 h of ventilation. Patients in the intervention group received a packet of HemoHIM daily and orally for 7 days in addition to standard prevention strategies. However, in the control group, only standard prevention strategies were carried out. All patients were followed daily for VAP incidence for 14 days. Findings: The overall VAP incidence was 36.4 and 57.4 episodes per 1000 days of mechanical ventilation in the intervention and control groups, respectively (P = 0.041; odds ratio = 0.26; 95% confidence interval = 0.070–0.944). The median length of mechanical ventilation during study follow-up was significantly lower in the intervention than in the control group (P = 0.033). The number of pneumonia-free days during the study was considerably higher in the intervention group (P value of the log-rank test = 0.023). Conclusion: According to the results of this study, the HemoHIM herbal supplement had beneficial effects in preventing the occurrence of VAP and significantly reduced the incidence of pneumonia in the intervention group. Further comprehensive research is required to draw more accurate conclusions.http://www.jrpp.net/article.asp?issn=2319-9644;year=2023;volume=12;issue=2;spage=58;epage=63;aulast=Khamooshpourhemohimintensive care unitventilator-associated pneumonia
spellingShingle Ghazal Khamooshpour
Hossein Mahjubipour
Shadi Farsaei
Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
Journal of Research in Pharmacy Practice
hemohim
intensive care unit
ventilator-associated pneumonia
title Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
title_full Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
title_fullStr Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
title_full_unstemmed Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
title_short Efficacy of an herbal preparation (Atomy's HemoHIM®) against ventilator-associated pneumonia: A randomized controlled clinical trial
title_sort efficacy of an herbal preparation atomy s hemohim r against ventilator associated pneumonia a randomized controlled clinical trial
topic hemohim
intensive care unit
ventilator-associated pneumonia
url http://www.jrpp.net/article.asp?issn=2319-9644;year=2023;volume=12;issue=2;spage=58;epage=63;aulast=Khamooshpour
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AT hosseinmahjubipour efficacyofanherbalpreparationatomyshemohimagainstventilatorassociatedpneumoniaarandomizedcontrolledclinicaltrial
AT shadifarsaei efficacyofanherbalpreparationatomyshemohimagainstventilatorassociatedpneumoniaarandomizedcontrolledclinicaltrial