TY - JOUR
T1 - Bundle Care for Preventing Ventilator-associated Pneumonia at a Medical Center
T2 - A Preliminary Report
AU - Chen, Joyce Kee Hsin
AU - Chen, Tzu Hsuan
AU - Liu, Hsueh Erh Sarah
AU - Kao, Ching Chiu
AU - Chen, Chieh Feng Cliff
AU - Ou, Tsong Yi
AU - Tseng, Pei Chuan
AU - Kuo, Ken N.
AU - Lee, Wen Sen
N1 - Publisher Copyright:
© 2014 Taipei Medical University.
PY - 2014/10
Y1 - 2014/10
N2 - Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in intensive care units (ICUs). Ventilator-associated pneumonia occurs in a considerable proportion of patients undergoing mechanical ventilation and is associated with substantial morbidity, mortality, and excess cost. Therefore, strategies that effectively prevent VAP are urgently needed. Methods: Patients admitted between January 1, 2010 and December 31, 2012 were investigated prospectively for VAP. Patients who were admitted to medical and surgical ICUs required more than 48 hours of mechanical ventilation. To develop evidence-based recommendations for VAP bundle care, we organized a multidisciplinary team that included administrators, infection control professionals, clinicians, and nursing informatics specialists. By April 1, 2011, the VAP bundle care interventions were implemented, and integrated into a clinical informatics system for reminding clinicians to promote compliance in bundle care. Results: After implementing VAP bundle care, the incidence of VAP decreased from 1.5% to 0% in both ICUs. The average overall patient-ventilator days were decreased from 1301 person-days per month to 1213 person-days per month in both ICUs. Conclusion: Based on our experience, we found that implementing VAP bundle care decreased ventilator days and the incidence of VAP.
AB - Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in intensive care units (ICUs). Ventilator-associated pneumonia occurs in a considerable proportion of patients undergoing mechanical ventilation and is associated with substantial morbidity, mortality, and excess cost. Therefore, strategies that effectively prevent VAP are urgently needed. Methods: Patients admitted between January 1, 2010 and December 31, 2012 were investigated prospectively for VAP. Patients who were admitted to medical and surgical ICUs required more than 48 hours of mechanical ventilation. To develop evidence-based recommendations for VAP bundle care, we organized a multidisciplinary team that included administrators, infection control professionals, clinicians, and nursing informatics specialists. By April 1, 2011, the VAP bundle care interventions were implemented, and integrated into a clinical informatics system for reminding clinicians to promote compliance in bundle care. Results: After implementing VAP bundle care, the incidence of VAP decreased from 1.5% to 0% in both ICUs. The average overall patient-ventilator days were decreased from 1301 person-days per month to 1213 person-days per month in both ICUs. Conclusion: Based on our experience, we found that implementing VAP bundle care decreased ventilator days and the incidence of VAP.
KW - Evidence-based practice
KW - Hospital-acquired pneumonia
KW - Infection control
KW - Nosocomial infection
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U2 - 10.1016/j.jecm.2014.08.003
DO - 10.1016/j.jecm.2014.08.003
M3 - Article
AN - SCOPUS:84927585942
SN - 1878-3317
VL - 6
SP - 157
EP - 160
JO - Journal of Experimental and Clinical Medicine (Taiwan)
JF - Journal of Experimental and Clinical Medicine (Taiwan)
IS - 5
ER -