Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units
Background: The implementation of guidelines for the prevention of Ventilator-associated pneumonia has been shown to have a significant effect in reducing the incidence of VAP. Objective: The aim of the present study was to evaluate the implementation of the preventive strategies for VAP in ICUs...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6308/11996_CE(Ra1)_F(GH)_PF1(PAK)_PFA(AK)_PFA2(P)_PF2(PAG).pdf |
| Summary: | Background: The implementation of guidelines for the
prevention of Ventilator-associated pneumonia has been shown
to have a significant effect in reducing the incidence of VAP.
Objective: The aim of the present study was to evaluate the
implementation of the preventive strategies for VAP in ICUs of
university hospitals of Sari, Iran.
Materials and Methods: This cross-sectional study was carried
out in 600 beds/day in the ICUs of university hospitals of Sari
from April to June 2012. Sampling was done by availability
technique in patients receiving mechanical ventilation in the ICU.
The implementation of the preventive measures was assessed
by a standard checklist with previously approved validity and
reliability.
Results: The percentage of implementing each of the measures
was as follows: sterile suction, 88.44%; semi-recumbent
position, 76.8%; oral hygiene, 58.45%; using heat and
moisture exchanges (HMEs), 58%; controlling cuff pressure,
46.8%; hand hygiene, 32.8%; using anti-coagulants, 26.8%
and physiotherapy, 25.5%. Closed suction system, continuous
drainage of subglottic secretions and kinetic beds were not
used at all.
Conclusion: The overall mean percentage of implementing
preventive measures was low and required designing integrated
guidelines by considering the conditions of the ICUs in each
country, as well as educating and encouraging the staffs to use
the recommended guidelines. |
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| ISSN: | 2249-782X 0973-709X |