[논문]Ventilator-associated pneumonia and the importance of education of ICU nurses on prevention – Preliminary results

Mogyoró; di, Bence; Dunai, Erzsé; bet; Gá; l, Já; nos; Ivá; nyi, Zsolt

doi:10.1556/1646.8.2016.4.9

Ventilator-associated pneumonia and the importance of education of ICU nurses on prevention – Preliminary results 원문보기

Interventional medicine & applied science, v.8 no.4, 2016년, pp.147 - 151

Mogyoródi, Bence (Department of Anaesthesiology and Intensive Therapy, Semmelweis University , Budapest, Hungary) , Dunai, Erzsébet (Department of Anaesthesiology and Intensive Therapy, Semmelweis University , Budapest, Hungary) , Gál, János (Department of Anaesthesiology and Intensive Therapy, Semmelweis University , Budapest, Hungary) , Iványi, Zsolt (Department of Anaesthesiology and Intensive Therapy, Semmelweis University , Budapest, Hungary)

Abstract ▼ AI-Helper

Background and aimsVentilator-associated pneumonia (VAP) increases intensive care unit (ICU) length of stay, ICU mortality, the number of ventilator days, and costs. We implemented a VAP bundle and investigated its efficacy on prevention. Materials and methodsA prospective observational study was conducted between January 1, 2015 and December 31, 2015 in a 12-bed multidisciplinary ICU. The bundle was implemented on July 02, 2015. Comparative analysis was performed before and after the implementation of the bundle. The compliance of the nurses was also studied. ResultsThe incidence of VAP was 21.5/1,000 ventilator days (95% CI: 14.17–31.10) in the first phase and 12.0/1,000 ventilator days (95% CI: 7.2–19.49) in the second phase. Relative risk reduction was 44% (95% CI: −0.5 to 0.98). Most common bacteria identified during the first phase were Pseudomonas aeruginosa, Stenotrophomonas maltophilia, and Staphylococcus aureus; and in the second phase P. aeruginosa, Acinetobacter baumannii, and S. maltophilia were identified. Significant improvement was achieved in the head-of-bed elevation (p = 0.004), oral care (p = 0.01), hand hygiene (p < 0.001), endotracheal suctioning (p = 0.004), and removal of condensate (p = 0.043). DiscussionThe incidence of VAP showed tendency for reduction. The prevalence of nursing-dependent bacteria decreased and compliance in following prevention methods increased.ConclusionThese results underline the importance of education of prevention methods.

참고문헌 (21)

1. American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) : Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia . Am J Respir Crit Care Med 171 , 388 – 416 ( 2005 ) 15699079

상세보기
2. Magill SS Edwards JR Bamberg W Beldavs ZG Dumyati G Kainer MA Lynfield R Maloney M McAllister-Hollod L Nadle J Ray SM Thompson DL Wilson LE Fridkin SK : Emerging infections program healthcare-associated infections and antimicrobial use prevalence survey team. Multistate point-prevalence survey of health care-associated infections . N Engl J Med 370 , 1198 – 1208 ( 2014 ) 24670166
3. Safdar N Dezfulian C Collard HR Saint S : Clinical and economic consequences of ventilator-associated pneumonia: A systematic review . Crit Care Med 33 , 2184 – 2193 ( 2005 ) 16215368

상세보기
4. Wang Y Eldridge N Metersky ML : National trends in patient safety for four common conditions, 2005–2011 . N Engl J Med 370 , 341 – 351 ( 2014 ) 24450892

상세보기
5. Klompas M : What can we learn from international ventilator-associated pneumonia rates? Crit Care Med 40 , 3303 – 3304 ( 2012 ) 23164768

상세보기
6. Melsen WG Rovers MM Groenwold RH : Attributable mortality of ventilator-associated pneumonia: A meta-analysis of individual patient data from randomised prevention studies . Lancet Infect Dis 13 , 665 – 671 ( 2013 ) 23622939

상세보기
7. Muscedere JG Day A Heyland DK : Mortality, attributable mortality, and clinical events as end points for clinical trials of ventilator-associated pneumonia and hospital-acquired pneumonia . Clin Infect Dis 51 , S120 – S125 ( 2010 ) 20597661
8. Kollef MH Hamilton CW Ernst FR : Economic impact of ventilator-associated pneumonia in a large matched cohort . Infect Control Hosp Epidemiol 33 , 250 – 256 ( 2012 ) 22314062

상세보기
9. Eom JS Lee MS Chun HK Choi HJ Jung SY Kim YS Yoon SJ Kwak YG Oh GB Jeon MH Park SY Koo HS Ju YS Lee JS : The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study . Am J Infect Control 42 , 34 – 37 ( 2014 ) 24189326

상세보기
10. Shitrit P Meirson M Mendelson G Chowers M : Intervention to reduce ventilator-associated pneumonia in individuals on long-term ventilation by introducing a customized bundle . J Am Geriatr Soc 63 , 2089 – 2093 ( 2015 ) 26480971

상세보기
11. Lim KP Kuo SW Ko WJ Sheng WH Chang YY Hong MC Sun CC Chen YC Chang SC : Efficacy of ventilator-associated pneumonia care bundle for prevention of ventilator-associated pneumonia in the surgical intensive care units of a medical center . J Microbiol Immunol Infect 48 , 316 – 321 ( 2015 ) 24183990
12. Biancofiore G Barsotti E Catalani V Landi A Bindi L Urbani L Desimone P Stefanini A Sansevero A Filipponi F : Nurses’ knowledge and application of evidence-based guidelines for preventing ventilator-associated pneumonia . Minerva Anestesiol 73 , 129 – 134 ( 2007 ) 17115016

상세보기
13. Viana WN Bragazzi C Couto de Castro JE Alves MB Rocco JR : Ventilator-associated pneumonia prevention by education and two combined bedside strategies . Int J Qual Health Care 25 , 308 – 313 ( 2013 ) 23537916

상세보기
14. Szilágyi AK Diószeghy CS Fritúz G Gál J Varga K : Shortening the length of stay and mechanical ventilation time by using positive suggestions via MP3 players for ventilated patients . Interv Med Appl Sci 6 , 3 – 15 ( 2014 ) 24672669
15. Szél Á Merkely B Hüttl K Gál J Nemes B Komócsi A : Statement on ethical publishing and scientific authorship . Interv Med Appl Sci 2 , 101 – 102 ( 2010 )
16. Resar R Pronovost P Haraden C Simmonds T Rainey T Nolan T : Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia . Jt Comm J Qual Patient Saf 31 , 243 – 248 ( 2005 ) 15960014

상세보기
17. Wip C Napolitano L : Bundles to prevent ventilator-associated pneumonia: How valuable are they? Curr Opin Infect Dis 22 , 159 – 166 ( 2009 ) 19276975

상세보기
18. Lambert ML Palomar M Agodi A Hiesmayr M Lepape A Ingenbleek A Herrejon EP Blot S Frank U : Prevention of ventilator-associated pneumonia in intensive care units: An international online survey . Antimicrob Resist Infect Control 2 , 9 ( 2013 ) 23531169
19. Parisi M Gerovasili V Dimopoulos S Kampisiouli E Goga C Perivolioti E Argyropoulou A Routsi C Tsiodras S Nanas S : Use of ventilator bundle and staff education to decrease ventilator-associated pneumonia in intensive care patients . Crit Care Nurse 36 , e1 – e7 ( 2016 )

상세보기
20. Crnich CJ Safdar N Maki DG : The role of the intensive care unit environment in the pathogenesis and prevention of ventilator-associated pneumonia . Respir Care 50 , 813 – 836 ( 2005 ) 15913471

상세보기
21. Augustyn B : Ventilator-associated pneumonia: Risk factors and prevention . Crit Care Nurse 27 , 32 – 39 ( 2007 ) 17671243

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Ventilator-associated pneumonia and the importance of education of ICU nurses on prevention – Preliminary results 원문보기

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