Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan

Zeng, Wen-Ping; Su, Han; Chen, Chein-Wen; Cheng, Shu‐Meng; Chang, Li-Fang; Tzeng, Wen‐Chii; Tzeng, Bing-Hsiean

doi:10.4103/1011-4564.156013

Cited by 4 publications

(3 citation statements)

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“…In Tehran, Iran, in 2012–2013, VAP cost 3.04 purchasing power parity (PPP) per day, compared with 1.23 PPP per day for those without VAP [22]. In Taipei, Taiwan in 2011–2014, an average ICU admission with VAP cost $8924.50 compared with $6625.50 without [23]. One further study in 2011–2012 in Goa, India, calculated the average additional cost of antibiotics used to treat VAP at $432.7 [24].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology

Bonell

Azarrafiy

Huong

et al. 2018

Clinical Infectious Diseases

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Ventilator associated pneumonia (VAP) is the commonest hospital acquired infection (HAI) in intensive care. In Asia, VAP is increasingly caused by resistant Gram-negative organisms. Despite the global antimicrobial resistance crisis, the epidemiology of VAP is poorly documented in Asia.We systematically reviewed literature published on Ovid MEDLINE, Embase Classic and Embase from 1st January 1990 to 17th Aug 2017 to estimate incidence, prevalence, and etiology of VAP. We performed meta-analysis of pooled data to give overall rates and rates by country income level.Pooled incidence density of VAP was high in low- and middle-income countries and lower in high-income countries (18.5, 15.2 and 9.0/1000 ventilator days respectively).Acinetobacter baumannii and Pseudomonas aeruginosa (26%, N=3687; 22%, N=3176) were leading causes of VAP, Staphylococcus aureus caused 14% (N=1999). Carbapenem resistance was common (57.1%).VAP remains a common cause of HAI, especially in low and middle income countries and antibiotic resistance is common.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology

Bonell

Azarrafiy

Huong

et al. 2018

Clinical Infectious Diseases

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“…According to the literature, the recommended angle for headboard elevation, unless contraindicated, is between 30 to 45°5 ,8,17,18,19 . The literature recommends, for patients under mechanical ventilation, avoiding the supine position in favor of a semi-reclined one to prevent the aspiration of oropharyngeal or gastric contents, leading to the pathogenesis of VAP 17,18 .…”

Section: Discussionmentioning

confidence: 99%

“…Theoretical components were taught via poster presentations in an A2 sheet (Figure 1) and covered the definition, diagnosis, etiology, risk factors for and prevention of VAP -as recommended by the literature 3,5,8,[16][17][18][19][20][21][22][23][24] . Practical demonstrations explained the cleaning of the closed aspiration system, the aspiration of subglottic secretions and the verification via cuff manometer of tube cuff pressure with cmH 2 O measurements.…”

Section: Methodsmentioning

confidence: 99%

Avaliação do impacto de uma intervenção educacional em Pneumonia Associada à Ventilação Mecânica

2021

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RESUMO A Pneumonia Associada à Ventilação Mecânica consiste na afecção do parênquima pulmonar em pacientes ventilados artificialmente. Considerada um problema de saúde pública, ela é prevenível através de boas práticas baseadas em evidências. Objetivamos evidenciar a eficácia de uma capacitação em Pneumonia Associada à Ventilação Mecânica com utilização de pré e pós-testes como ferramenta avaliativa da fixação do conteúdo abordado. Estudo transversal, exploratório e quantitativo, conduzido em um hospital público da Região do Vale dos Sinos (RS) em dezembro de 2019. A amostra foi constituída por profissionais de saúde e acadêmicos em estágio supervisionado que frequentaram capacitações desenvolvidas com recursos audiovisuais e rodas de conversa, excluindo-se aqueles que não preencheram os questionários nas fases pré e/ou pós-teste e compostos por cinco questões sobre o tubo endotraqueal, altura cabeceira, aspiração de secreções e fatores de risco e prevenção da Pneumonia Associada à Ventilação Mecânica. Foram utilizados procedimentos de estatística descritiva, o teste t de Student pareado e construção de Boxplot das notas dos participantes para análise dos dados. O estudo foi composto por 45 participantes com média de idade 34,5±8,9 anos, em sua maioria mulheres (75,6%) e técnicos de enfermagem (60%). Evidenciou-se que, a média global de acertos nas questões do pré-teste foi de 28 (62,2%) e no pós-teste 38 (84,4%), expressando aumento de 35,7% no aproveitamento dos participantes após a capacitação. No entanto, esse acréscimo não foi estatisticamente significativo (p=0,103). Apesar dos potenciais benefícios da intervenção educacional aplicada, os resultados obtidos não foram significantes, contrariando a hipótese do estudo.

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Investigation of the triplet excited state and application of cationic meso-tetra(cisplatin)porphyrins in antimicrobial photodynamic therapy

Jornada

Garcia

Silveira

et al. 2021

Photodiagnosis and Photodynamic Therapy

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Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan

Cited by 4 publications

References 0 publications

A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology

A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology

Avaliação do impacto de uma intervenção educacional em Pneumonia Associada à Ventilação Mecânica

Investigation of the triplet excited state and application of cationic meso-tetra(cisplatin)porphyrins in antimicrobial photodynamic therapy

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