Root cause analysis of ventilator-associated pneumonia and the effect of analysis of expanded ventilator bundle of care

Ali, Hossam Ibrahim Eldesuky; Rayan, Ayman A; Ibrahim, Tamer H

doi:10.4103/1687-7934.182223

Cited by 3 publications

(5 citation statements)

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“…After the implementation of the five-item ventilator-associated pneumonia prevention care bundles, this study found a significantly lower incidence of ventilator-associated pneumonia than for the oral hygiene group, which is consistent with the results of other studies showing that the implementation of ventilator-associated pneumonia care bundles can significantly reduce the incidence of ventilator-associated pneumonia [3,9,10]. Collectively, current and past studies show that although the contents of ventilator-associated pneumonia care bundles implemented may be different; they all have had the effect of reducing the occurrence of ventilator-associated pneumonia.…”

Section: Discussionsupporting

confidence: 91%

“…Ventilator-associated pneumonia is a common hospital acquired infection in patients in the intensive care unit [ 1 , 2 ]. The incidence of ventilator-associated pneumonia in patients with respirators in the intensive care unit is as high as 21–42%, and the mortality rate is 8–46%; it also causes patients to stay longer in the hospital and increases medical costs [ 3 ]. In order to reduce the incidence of ventilator-associated pneumonia in the hospital and promote the quality of medical care, hospitals implement related care measures to prevent ventilator-associated pneumonia.…”

Section: Introductionmentioning

confidence: 99%

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Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Lee

Lin

Yang

et al. 2021

IJERPH

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Ventilator-associated pneumonia is a common hospital-acquired infection. It causes patients to stay longer in the hospital and increases medical costs. This study explores the effect of applying an automatic medical information system to implement five-item prevention care bundles on the prevention of ventilator-related pneumonia. This study was a retrospective cohort study. This study was conducted from October 2017 to February 2018 and collected data from the intensive care unit of a medical center in southern Taiwan from January 2013 to May 2016. The control group (enrolled from January 2013 to June 2014) received oral hygiene. The experimental group (enrolled from July 2014 to December 2015) received five-item ventilator-associated pneumonia prevention care bundles, which consisted of (1) elevation of the head of the bed to 30–45°; (2) daily oral care with 0.12−0.2% chlorhexidine twice daily; (3) daily assessment of readiness to extubate; (4) daily sedative interruption; and (5) emptying water from the respirator tube. Results showed the incidence of ventilator-associated pneumonia in the bundle group was significantly less than the oral hygiene group (p = 0.029). The factors that significantly affected the incidence of ventilator-associated pneumonia were ventilator-associated pneumonia care bundle, ventilator-days, and intensive care unit length of stay. A significant reduction in ventilator-associated pneumonia rate in the bundle group compared to the oral hygiene group (OR = 0.366, 95% CI = 0.159–0.840) was observed, with 63.4% effectiveness. Application of an automatic medical information system to implement bundle care can significantly reduce the incidence of ventilator-associated pneumonia.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Lee

Lin

Yang

et al. 2021

IJERPH

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“…Some authors talk about the need for daily evaluation of the bundle and not only monthly, with audits and feedback to the team about their behavior towards adherence, being able to observe the reasons for the inadequacy of practical actions (1,25) . Thus, when building the package of measures and implementing it in the ICU, it is necessary to present it to all team members, and to clarify its importance for the effective participation of all professionals for the success of preventive measures and consequent drop in infection rates (1,25) .…”

Section: Discussionmentioning

confidence: 99%

“…Ventilator-Associated Pneumonia (VAP) is one of the complications related to the care of patients hospitalized in the Intensive Care Unit (ICU), which, according to consulted authors (1) , exceeds the mortality rates of other Healthcare Related Infections (HRI). VAP is the second most frequent infection in patients admitted to the ICU, as well as the most prevalent in patients who require invasive respiratory support (2) .…”

Section: Introductionmentioning

confidence: 99%

Education to prevent ventilator-associated pneumonia in intensive care unit

et al. 2020

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Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.

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“…Many studies have documented a similar decrease in VAP rate, following bundle implementation. [ 3 4 ] Khan et al . showed the rate of VAP decreased from 8.6/1000 ventilator-days to 2.0/1000 ventilator-days ( P < 0.0001) after implementation of the care bundle.…”

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confidence: 99%

Bundle of care approach to reduce ventilator-associated pneumonia in the intensive care unit in a tertiary care teaching hospital in North India

et al. 2019

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Root cause analysis of ventilator-associated pneumonia and the effect of analysis of expanded ventilator bundle of care

Cited by 3 publications

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Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Education to prevent ventilator-associated pneumonia in intensive care unit

Bundle of care approach to reduce ventilator-associated pneumonia in the intensive care unit in a tertiary care teaching hospital in North India

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