Reducing ventilator-associated pneumonia rates through a staff education programme

The Journal of Hospital Infection
N SalahuddinS J Husain

Abstract

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in patients on mechanical ventilation and results in increases in mortality, prolonged hospitalization and costs. Preventive measures for VAP are well-documented and evidence-based, yet remain poorly implemented in most intensive care units. We undertook an observational pre and post-intervention study to assess whether an educational programme focusing on preventive practices for VAP could reduce the incidence. Six hundred and seventy-seven adult patients, mechanically ventilated for >48 h were included in the study population. An evidence-based guideline for preventive practices at the bedside was developed and disseminated to the intensive care unit staff. VAP incidence rates before and after implementation of the educational programme were compared. VAP infection rates reduced by 51%, from a mean of 13.2+/-1.2 in the pre-intervention period to 6.5+/-1.5/1000 device days in the post-intervention period (mean difference 6.7; 95% CI: 2.9-10.4, P =0.02). A multidisciplinary educational programme geared towards intensive care unit staff can successfully reduce the incidence rates of VAP. Further studies will be needed to assess the impact on broader ou...Continue Reading

References

Jul 1, 1994·Intensive Care Medicine·A Trilla
Dec 1, 1993·American Journal of Infection Control·S I KelleghanL Becker
Feb 28, 2001·Seminars in Respiratory Infections·M J Bonten, R A Weinstein
Apr 6, 2002·American Journal of Respiratory and Critical Care Medicine·Jean Chastre, Jean-Yves Fagon
Jul 18, 2002·Intensive Care Medicine·G NtoumenopoulosJ F Cade
Sep 3, 2002·Current Opinion in Critical Care·Santiago Ewig, Antoni Torres
Mar 18, 2003·Annals of Internal Medicine·Harold R CollardMichael A Matthay
Jun 7, 2003·Journal of Clinical Nursing·Sandra Salloum ZeitounSolange Diccini

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Citations

Mar 25, 2009·Intensive Care Medicine·Caroline S HaweAndrew Longmate
Mar 20, 2010·Intensive Care Medicine·Jordi RelloUNKNOWN VAP Care Bundle Contributors
Jul 27, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·K ReinhartK Werdan
Apr 9, 2005·Current Opinion in Pulmonary Medicine·Michael Jan Shaw
Apr 24, 2008·Critical Care Medicine·Nasia Safdar, Cybéle Abad
Oct 13, 2009·The Journal of Nursing Administration·Christine L Covell
Mar 7, 2014·Medicina intensiva·F Álvarez LermaUNKNOWN Sociedad Española de Enfermería Intensiva
Mar 26, 2009·Chest·Yu-Chung WuDiahn-Warng Perng
May 8, 2007·The Journal of Hospital Infection·R Masterton
May 24, 2008·Journal of Advanced Nursing·Christine L Covell
Aug 10, 2011·Nursing in Critical Care·Petra Lawrence, Paul Fulbrook
Feb 12, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Theodore SperoffRobert S Dittus
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jente M GoutierSean M Berenholtz
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael KlompasSean M Berenholtz
Aug 28, 2007·The Journal of Hospital Infection·P Gastmeier, C Geffers
Dec 3, 2016·Journal of Medical Microbiology·Gurdal YilmazIftihar Koksal
Feb 15, 2008·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Adesegun TewogbadeCarolyn Wilson
Jul 7, 2012·Revista Da Sociedade Brasileira De Medicina Tropical·Juliana Pena PortoRosineide Marques Ribas
Nov 2, 2005·American Journal of Infection Control·Elaine Larson
Mar 28, 2018·Nursing in Critical Care·Michelle C GuilherminoDeborah Sundin
Feb 9, 2011·Therapeutic Advances in Respiratory Disease·Diego J Maselli, Marcos I Restrepo
Jun 21, 2018·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Lim Beng LeongLee Wei Feng
Jan 6, 2006·Current Opinion in Critical Care·Randy S WaxPaula Burns
Mar 13, 2012·Hospital Practice·Madiha Ashraf, Luis Ostrosky-Zeichner
Dec 12, 2012·Critical Care Medicine·Tasnim SinuffUNKNOWN Canadian Critical Care Trials Group
Aug 9, 2013·Paediatrics and International Child Health·Indah MurniYati Soenarto
Aug 14, 2013·Critical Care Medicine·Tasnim SinuffUNKNOWN KRITICAL Working Group, the Canadian Critical Care Trials Group, and the Canadian Critical Care Society
Sep 10, 2010·Critical Care Nursing Quarterly·Karen Stonecypher
Mar 12, 2019·American Journal of Therapeutics·Namrita MalhanStephan L Kamholz
Oct 17, 2008·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Lorraine B Fields
Oct 18, 2016·Dimensions of Critical Care Nursing : DCCN·Kelsey ChinnaduraiJane Blood-Siegfried
Apr 2, 2013·The Cochrane Database of Systematic Reviews·Gerd FlodgrenSasha Shepperd
Feb 16, 2012·Dimensions of Critical Care Nursing : DCCN·Janet T CrimliskJulie Silva
Nov 8, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael KlompasSean M Berenholtz
Feb 22, 2012·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·P P SarammaP S Sarma

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