Combination of ventilator care bundle and regular oral care with chlorhexidine was associated with reduction in ventilator associated pneumonia

Azab, S. R. El; Sayed, Abeer Ezzat El; Abdelkarim, Mutaz; Mutairi, Khalid Bander Al; Saqabi, Abduallah Al; Demerdash, Said El

doi:10.1016/j.egja.2013.03.001

Cited by 15 publications

(13 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We found seven articles that dealt with VAP prevention in Saudi Arabia [Table 3]. [42434445464748] All these studies were based on pre- and post-intervention observational designs except for two, which were prospective cohort studies. [4244] The total number of patient ventilator days was 64,414, with the highest number (41,034) reported by Al-Dorzi et al .…”

Section: Initiatives For Improving Ventilator Care In the Kingdom Of mentioning

confidence: 99%

“…However, some organizations introduced other prevention measures. Four of the seven institutions added oral care with chlorhexidine,[43444748] two implemented the use of endotracheal tubes with subglottic secretion drainage,[4348] and one monitored endotracheal tube cuff pressure. [43] The overall bundle compliance improved from 48.6% to 94.3% (an increase of 49%), with Al-Tawfiq and Abed[46] reporting the greatest improvement (75.6%).…”

Section: Initiatives For Improving Ventilator Care In the Kingdom Of mentioning

confidence: 99%

See 1 more Smart Citation

Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

et al. 2017

View full text Add to dashboard Cite

Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs). Earlier initiatives used the concept of ventilator care bundles (sets of interventions), with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization). The approach of the Comprehensive Unit-based Safety Program (CUSP) was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework. In August 2015, 17 Intensive Care Units (ICUs) (a total of 271 beds) in eight hospitals in the Kingdom of Saudi Arabia joined the CUSP for MVPs (CUSP 4 MVP) that was conducted in 235 ICUs in 169 US hospitals and led by the Johns Hopkins Armstrong Institute for Patient Safety and Quality. The CUSP 4 MVP project will set the stage for cooperation between multiple hospitals and thus strives to create a countrywide plan for the management of all MVPs in Saudi Arabia.

show abstract

Section: Initiatives For Improving Ventilator Care In the Kingdom Of mentioning

confidence: 99%

Section: Initiatives For Improving Ventilator Care In the Kingdom Of mentioning

confidence: 99%

Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

et al. 2017

View full text Add to dashboard Cite

show abstract

“…One research question that could be considered to broaden the scope of knowledge on VAP prevention is: Does raising the head of the bed to greater than 30 degrees significantly decrease VAP occurrence? The beginning of this research question was examined by Azab et al, 11 when they discussed results regarding a significant relationship between elevating the HOB 30 to 45 degrees and the decrease in VAP incidence. Further studies evaluating this individual intervention for VAP prevention will add to the science and expand current knowledge.…”

Section: Future Researchmentioning

confidence: 99%

Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults

Zuckerman

2016

Dimensions of Critical Care Nursing

View full text Add to dashboard Cite

Ventilator-associated pneumonia (VAP) describes pneumonia in patients requiring mechanical ventilation that was not present prior to intubation. Ventilator-associated pneumonia concurrently increases patient mortality, hospital length of stay, and health care costs. Ventilator-associated pneumonia also contributes to patient morbidity, which is challenging the progression of patient care in intensive care units throughout the United States. Through critique of current literature, suitable interventions for intensive care unit implementation to prevent VAP are clearly identified. Oral health was shown in this literature to greatly contribute to the development or prevention of VAP; it can be compromised by critical illness and mechanical ventilation while being influenced by nursing care. Oral health is managed by proper oral care using oral chlorhexidine in order to decrease oral bacteria and potential oropharynx colonization. The previously mentioned literature review demonstrates a decrease in VAP rates with the use of such oral interventions as chlorhexidine. These research results will support and influence patient care practices considering nursing and medicine are driven by evidence rather than experience to prevent avoidable patient harm.

show abstract

“…[3] Ventilator-associated pneumonia (VAP) is one of the deadliest infections, and is the cause of more than 36000 deaths each year in the United States. [4] There is no specific VAP statistics in Iran, however, Afkhamzadeh reported this number as 32.2% in Sanandaj, Iran, and Ebrahimi reported it as 80%. [56] The results of the study by Safdari in Isfahan, Iran, showed a high rate of pneumonia in both the intervention and control groups.…”

Section: Introductionmentioning

confidence: 99%

Compliance with the standards for prevention of ventilator-associated pneumonia by nurses in the intensive care units

Tabaeian

Yazdannik

Abbasi

2017

Iranian J Nursing Midwifery Res

View full text Add to dashboard Cite

Introduction:Ventilator-associated pneumonia (VAP) is the most common infection in the intensive care unit, and has many side effects such as increased mortality, increased length of hospital stay, and increased health costs. This study aimed to evaluate the compliance with the standards for prevention of VAP by nurses in the intensive care units.Materials and Methods:In this descriptive cross-sectional study, 120 nurses in 11 intensive care units of hospitals affiliated to Isfahan university of Medical Sciences, Iran, were assessed for 4 months from July to October 2014. The implementation of all measures for the prevention of VAP was investigated through observation and using a checklist.Results:The mean compliance with the standards for the prevention of VAP in the intensive care unit by the nurses was 56.32%; analysis of variance test showed significant difference between the hospitals (P < 0.001). Disposable ventilator circuit was performed for all patients; however, reviewing the patient readiness for separation from the ventilator was not conducted on a daily basis.Conclusions:Compliance with the standards for the prevention of VAP in the intensive care units was relatively acceptable; however, it still requires serious attention by the officials with training and sensitization of nurses in implementing preventive measures, especially through the provision of clinical guidelines and related protocols.

show abstract

Combination of ventilator care bundle and regular oral care with chlorhexidine was associated with reduction in ventilator associated pneumonia

Cited by 15 publications

References 15 publications

Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults

Compliance with the standards for prevention of ventilator-associated pneumonia by nurses in the intensive care units

Contact Info

Product

Resources

About