PMID: 9431488Feb 12, 1998Paper

Ventilator-associated pneumonia: clinical significance and implications for nursing

Heart & Lung : the Journal of Critical Care
Mary Jo Grap, Cindy L Munro

Abstract

Pneumonia is the second most common nosocomial infection in the United States and the leading cause of death from nosocomial infections. Intubation and mechanical ventilation greatly increase the risk of bacterial pneumonia. Ventilator-associated pneumonia (VAP) occurs in a patient treated with mechanical ventilation, and it is neither present nor developing at the time of intubation; it is a serious problem--with significant morbidity and mortality rates. Aspiration of bacteria from the oropharynx, leakage of contaminated secretions around the endotracheal tube, patient position, and cross-contamination from respiratory equipment and health care providers are important factors in the development of VAP. Nurses caring for patients treated with mechanical ventilation must recognize risk factors and include strategies for reducing these factors as part of their nursing care. This article summarizes the literature related to VAP: its incidence, associated factors, diagnosis, and current therapies, with an emphasis on nursing implications in the care of these patients.

References

Jan 1, 1992·Intensive Care Medicine·J ChastreC Lamer
Jan 1, 1992·Intensive Care Medicine·D E CravenR A Duncan
Jun 1, 1991·The Journal of Hospital Infection·R P Wenzel, M A Pfaller
Sep 16, 1991·The American Journal of Medicine·D E CravenT W Barber
Sep 1, 1990·The American Review of Respiratory Disease·A TorresR Rodriguez-Roisin
Nov 1, 1990·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·B SimmonsK Arheart
Jun 1, 1988·American Journal of Infection Control·J S GarnerJ M Hughes
Jan 1, 1988·Intensive Care Medicine·H AebertG Regel
Feb 1, 1988·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·F DaschnerW Vogel
Jan 1, 1987·Intensive Care Medicine·M LangerG Tognoni
Mar 1, 1987·Critical Care Medicine·G A GrindlingerG Simpson
Apr 1, 1984·American Journal of Infection Control·Z A QuraishiF X Blais
Jun 24, 1982·The New England Journal of Medicine·D E CravenW R McCabe
Jun 11, 1981·The New England Journal of Medicine·R K Albert, F Condie
Jul 1, 1995·American Journal of Respiratory and Critical Care Medicine·A TorresR Rodriguez-Roisin
Oct 1, 1994·Critical Care Medicine·M J BontenS van der Geest
May 1, 1994·Intensive Care Medicine·M Tryba
Dec 1, 1994·American Journal of Respiratory and Critical Care Medicine·J RelloR Rodriguez-Roisin
Nov 1, 1994·AJR. American Journal of Roentgenology·M H Kollef, D P Schuster
Aug 1, 1994·American Journal of Infection Control·R WurtzB Jovanovic
Jun 1, 1994·American Journal of Respiratory and Critical Care Medicine·R G DotsonS K Pingleton
Aug 1, 1994·American Journal of Respiratory and Critical Care Medicine·J Chastre, J Y Fagon
Sep 1, 1994·The Medical Clinics of North America·A R Dal Nogare
Sep 1, 1994·The Medical Clinics of North America·J J Griffin, G U Meduri

❮ Previous
Next ❯

Citations

Dec 10, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Mary Jo GrapCindy Munro
Aug 13, 2014·Journal of Research in Pharmacy Practice·Hadi HamishehkarAta Mahmoodpoor
Jul 6, 2010·Heart & Lung : the Journal of Critical Care·Deborah J JonesMichael Edmond
Jun 4, 2008·Journal of the American Medical Directors Association·Rachel WolfChesley Richards
Oct 10, 2003·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Jenny A Darvas, Leesa G Hawkins
Dec 17, 2008·Worldviews on Evidence-based Nursing·Sheila O'Keefe-McCarthyGemma Lau
Nov 3, 2010·Journal of Clinical Nursing·Ka Yi Yeung, Ying Yu Chui
Apr 10, 2004·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·H JonesE J Bower
Oct 14, 2004·Annals of Tropical Paediatrics·Ayla GünlemezSaadet Arsan
Jan 18, 2012·Revista latino-americana de enfermagem·Leandra Terezinha Roncolato da SilvaMiyeko Hayashida
May 11, 2002·Biological Research for Nursing·Pamela V O'NealCindy Munro
Jul 3, 2010·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mary Lou Sole
Sep 14, 2016·Iranian Red Crescent Medical Journal·Mahmood ShamshiriReza Nabi Amjad

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Related Papers

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Phyllis McCorstinGail Dwyer
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Jennifer Tuboku-Metzger BlakelyW R Jarvis
The Journal of Hospital Infection
L Correa, D Pittet
The Cochrane Database of Systematic Reviews
P G RobinsonW C Shaw
© 2021 Meta ULC. All rights reserved