Neonatal Ventilator-Associated Pneumonia: An Underdiagnosed Problem in the Neonatal Intensive Care Units

Al‐Alaiyan, Saleh

doi:10.15406/jpnc.2017.07.00288

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…Most of the studied nurses' reported incompetent practices regarding parenteral feeding management in the intended NICUs. The result of the current study was in agreement with Al-Alaiyan et al [37] who reported that, nurses' practices was unsatisfactory regarding prevention of VAP and parenteral feeding. This might be due to lack of staff nursing to deliver high quality of care for seriously ill neonates.…”

Section: Discussionsupporting

confidence: 91%

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study. Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

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Section: Discussionsupporting

confidence: 91%

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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“…Similar findings were reported by an Italian study with above 700 ICU patients concluding the ICU associated pneumonia were arisen 5% among patients on mechanical ventilation for a day to reach above 60% for those where the ventilation period was set up to 30 days. [15][16][17][18][19] Another risk factor was the trach and ETT factor, it was observed in high incidence in our population. H2 blockers, broad-spectrum Abx and Oral antiseptics were also commonest and associated to the pneumonia development.…”

Section: Resultsmentioning

confidence: 99%

“The incidence of ICU-associated pneumonia in patients admitted to ICU of major tertiary care hospitals”

Nouman

Zaidi

et al. 2019

TPMJ

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ABSTRACT… Objectives: Despite in techniques advancement to patient care for respiratory tracts are instrumented may complicate the IAP course up to 50% in patients with mechanical ventilation. It requires rapid diagnoses and treatment that is appropriate as per patient condition. Many studies revealed negative impact with delayed administration and antibiotic treatment in IAP patients may increase the hospital mortality and morbidity. The primary objective of the study was to estimate the incidence of IAP in the patient admitted in ICU of tertiary care hospitals in Rawalpindi Pakistan. Study Design: Observational cross sectional study. Setting: ICU units of various tertiary care hospitals in Rawalpindi, Pakistan. Period: One year from Dec 2016-Dec 2017. Materials and Methods: A total 450 subjects were enlisted for the study; these patients were selected randomly. The exclusion criteria include all patients with Acute Respiratory Distress Syndrome (ARDS) or those on long-term antibiotic or steroid therapy and all the pregnant women whereas all the patients of both sexes, kept on ventilator for more than 48 h and above the age of 18 years were included in this study. Results: We enrolled a total of 450 patients for this study. The average age of all the participants was 61.51 + 12.8 with range 36-91. 230(51.1%) of the patients were male whereas 220(48.9%) were females. The Trauma-Pulm contusion was absent in all patients. In ICU 150 (33.3%) were diagnosed with COPD, 150(33.3%) with Asthma, 220(48.9%) with ARDS, 10 (2.2%) with head trauma and 310 (68.8%) with diabetes.200 (44.4%) smokers, 40(8.8%) were having lung cancer, 310(68.8%) were hypertensive and 20 (4.4%) were with Pneumothorax -requiring Chest Tube. Conclusion: We may conclude from our study that ICU associated Pneumonia is a serious issue, that developed with longer hospital stay, duration of mechanical ventilation and re-intubation. By reducing the mechanical ventilation duration, pneumonia can be controlled.

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“…A similar study has been published by Weber et al but the final impact has not been reported [ 10 ]. Other studies have shown a further VAP rate decrease with similar strategies but it could be related to a higher pre-bundle incidence of VAP [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Preventive bundle approach decreases the incidence of ventilator-associated pneumonia in newborn infants

et al. 2021

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Objective We hypothesized that the implementation of evidence-based interventions shaping a bundle approach could significantly reduce the incidence of ventilator-associated pneumonia (VAP) in the neonatal intensive care unit. Study design We conducted a prospective observational cohort study including neonates undergoing mechanical ventilation >48 h. VAP rate and endotracheal intubation ratio were compared before (pre-period) and after (post-period) applying VAP prevention bundle strategies. Result One hundred seventy-four neonates were included in pre-period (30 months) and 106 in post-period (17 months). Demographic characteristics were comparable and device use ratios were similar. Twenty-eight VAP episodes were diagnosed, 25 in the first period and 3 after the implementation of prevention bundle. This represents a reduction in the incidence rate from 11.79 to 1.93 episodes/1000 ventilator days (p < 0.01). Conclusion The implementation of an educational evidence-based program using a bundle approach to prevent VAP has shown a statistically significant reduction in its incidence density.

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Neonatal Ventilator-Associated Pneumonia: An Underdiagnosed Problem in the Neonatal Intensive Care Units

Cited by 8 publications

References 26 publications

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

“The incidence of ICU-associated pneumonia in patients admitted to ICU of major tertiary care hospitals”

Preventive bundle approach decreases the incidence of ventilator-associated pneumonia in newborn infants

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