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 |
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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 |
| _version_ | 1818577905586798592 |
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| author | Masoumeh Bagheri-Nesami Maryam Amiri-Abchuyeh Afshin Gholipour- Baradari Jamshid Yazdani- Cherati Attieh Nikkhah |
| author_facet | Masoumeh Bagheri-Nesami Maryam Amiri-Abchuyeh Afshin Gholipour- Baradari Jamshid Yazdani- Cherati Attieh Nikkhah |
| author_sort | Masoumeh Bagheri-Nesami |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T06:37:20Z |
| format | Article |
| id | doaj.art-ef8cb6c2ddf34efb93e97d9012071ce3 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-16T06:37:20Z |
| publishDate | 2015-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ef8cb6c2ddf34efb93e97d9012071ce32022-12-21T22:40:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-08-0198IC05IC0810.7860/JCDR/2015/11996.6308Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care UnitsMasoumeh Bagheri-Nesami0Maryam Amiri-Abchuyeh1Afshin Gholipour- Baradari2Jamshid Yazdani- Cherati3Attieh Nikkhah4Faculty, Department of Medical Surgical Nursing, Antimicrobial Resistant Nosocomial Infection Research Center, Mazandaran University of Medical Sciences, Sari, Iran.Critical Care Nurse, Nasibeh Nursing and Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran. Critical Care and Cardiac Anesthesia Fellowship, Associate Professor of Anaesthesiology, Mazandaran University of Medical Sciences, Sari, Iran. Assistant Professor, Department of Biostatistics, School of Health Sciences, Mazandaran University of Medical Sciences, Sari, Iran. Critical Care Nurse, Nasibeh Nursing and Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran. 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.https://jcdr.net/articles/PDF/6308/11996_CE(Ra1)_F(GH)_PF1(PAK)_PFA(AK)_PFA2(P)_PF2(PAG).pdfguidelines for preventive measuresicu staffnosocomial infection |
| spellingShingle | Masoumeh Bagheri-Nesami Maryam Amiri-Abchuyeh Afshin Gholipour- Baradari Jamshid Yazdani- Cherati Attieh Nikkhah Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units Journal of Clinical and Diagnostic Research guidelines for preventive measures icu staff nosocomial infection |
| title | Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units |
| title_full | Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units |
| title_fullStr | Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units |
| title_full_unstemmed | Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units |
| title_short | Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units |
| title_sort | assessment of critical care provider s application of preventive measures for ventilator associated pneumonia in intensive care units |
| topic | guidelines for preventive measures icu staff nosocomial infection |
| url | https://jcdr.net/articles/PDF/6308/11996_CE(Ra1)_F(GH)_PF1(PAK)_PFA(AK)_PFA2(P)_PF2(PAG).pdf |
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