Ventilator-associated pneumonia

Gunasekera, Pumali; Gratrix, Andrew

doi:10.1093/bjaed/mkv046

Cited by 30 publications

(29 citation statements)

References 21 publications

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“…The VAP rate of the hospital is compatible with seventy-five percentiles according to the country average [21]. The main pathogenic factor in the development of VAP is biofilm formation within the endotracheal tube and microaspiration of secretions [22]. The incidence of VAP can be reduced by several means, including the use of care bundles [22].…”

Section: Discussionmentioning

confidence: 99%

“…The main pathogenic factor in the development of VAP is biofilm formation within the endotracheal tube and microaspiration of secretions [22]. The incidence of VAP can be reduced by several means, including the use of care bundles [22]. Some of the bundle parameters include head-of-bed elevation, daily sedation vacation, daily assessment of readiness for extubation, prophylaxis of peptic ulcer and deep vein thrombosis, oral care with chlorhexidine solution, in-line suction system and subglottic suctioning [23].…”

Section: Discussionmentioning

confidence: 99%

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A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital

Türe

Ustuner

Santini

et al. 2020

The Journal of Critical Care Medicine

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BackgroundThe study aimed to investigate the changes in nosocomial infection density after patients were transferred to the intensive care unit (ICU) of a new-build hospital.MethodsThe types and rates of nosocomial infections were obtained for a one-year period retrospectively before leaving the old hospital premises and for a one-year periods after moving into the new hospital. The intensive care unit in the “old” premises was comprised of a 17-bedded hall, and thirty-three nurses shifted to work forty-eight hours a week, with each nurse assigned to provide care for two patients. The intensive care unit in the “new” premises consisted of single rooms, each with twenty-eight beds.ResultsThe median nosocomial infection density decreased from 23 to 15 per 1000 in-patient days. The catheter-related urinary tract infection rate decreased from 7.5 to 2.6 per100 catheter days.ConclusionsTreatment of patients in the new hospital resulted in a decrease in nosocomial infection density.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital

Türe

Ustuner

Santini

et al. 2020

The Journal of Critical Care Medicine

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“…Ventilator‐associated pneumonia (VAP) is one of the most common hospital‐acquired infections among patients admitted to intensive care units (ICUs) (Gunasekera & Gratrix, 2016). Several studies have demonstrated that VAP results in an increased cost of care (Bouadma, Wolff, & Lucet, 2012), prolonged hospitalization (Dimopoulos & Matthaiou, 2016; Yeganeh, Yekta, Farmanbar, Khalili, & Atrkar Roushan, 2016) and a substantial increase in the mortality rate (Pérez‐Granda et al, 2012; Speck et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Prevention of ventilator‐associated pneumonia in intensive care units: Barriers and compliance

Aloush

Al-Rawajfa

2020

Int J of Nursing Practice

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Aim: The purpose of this study was to evaluate the compliance of Jordanian nurses with ventilator-associated pneumonia prevention guidelines and the barriers to compliance. Method: A descriptive, cross-sectional design was used. A convenience sample of 294 nurses from nine hospitals in Jordan completed a self-reported questionnaire. Results: According to the study compliance categories, 45.6% of the participants reported 'insufficient compliance,' 24.8% 'weak compliance' and 29.6% 'sufficient compliance.' Nurses with more experience and previous education on ventilatorassociated pneumonia reported higher compliance scores than their counterparts with less experience and no previous education. Nurses reported several barriers that limited their own compliance, such as lack of education, lack of policies and protocols, lack of resources and the shortage of staff. Conclusion: The compliance of nursing staff with the prevention guidelines was poor. Applying tailored educational programs may help improve their level of compliance.

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“…This strategies included strict infection control, alcohol-based hand disinfection, cuff pressure control, subglottic secretion drainage, use of microbiologic surveillance with timely availability of data about local multidrug-resistant pathogens, monitoring, and early removal of invasive devices and programs that reduce or change antibiotic prescribing practices. 13 In addition, the patients underwent standard physical therapy, including range-of-motion exercises, head elevation exercises and positioning, and other physical therapies.…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

Mechanical Insufflation-exsufflation for the Prevention of Ventilator-associated Pneumonia in Intensive Care Units: A Retrospective Cohort Study

Kuroiwa

Tateishi

Oshima

et al. 2021

Indian Journal of Critical Care Medicine

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A bstract Aim Ventilator-associated pneumonia (VAP) is the most common intensive care unit (ICU)-acquired infection. The current study aimed to assess the efficacy of mechanical insufflation-exsufflation (MI-E) in preventing VAP in critically ill patients. Materials and methods This retrospective cohort study was conducted at the ICU of Chiba University Hospital between January 2014 and September 2017. The inclusion criteria were patients who required invasive mechanical ventilation ≥48 hours and those who underwent rehabilitation, including chest physical therapy (CPT). In 2015, the study institution started the use of MI-E in patients with impaired cough reflex. From January to December 2014, patients undergoing CPT were classified under the historical control group, and those who received treatment using MI-E from January 2015 to September 2017 were included in the intervention group. The patients received treatment using MI-E via the endotracheal or tracheostomy tube, with insufflation-exsufflation pressure of 15–40 cm H 2 O. The treatment frequency was one to three sessions daily, and a physical therapist who is experienced in using MI-E facilitated the treatment. Results From January 2015 to September 2017, 11 patients received treatment using MI-E. Of the 169 patients screened in 2014, 19 underwent CPT. The incidence of VAP was significantly different between the CPT and MI-E groups (84.2% [16/19] vs 26.4% [3/11], p = 0.011). After adjusting for covariates, a multivariate logistic regression analysis was performed, and results showed that the covariates were not associated with the incidence of VAP. Conclusion This retrospective cohort study suggests that the use of MI-E in critically ill patients is independently associated with a reduced incidence of VAP. Clinical significance Assessing the efficacy of MI-E to prevent VAP. How to cite this article Kuroiwa R, Tateishi Y, Oshima T, Inagaki T, Furukawa S, Takemura R, et al. Mechanical Insufflation-exsufflation for the Prevention of Ventilator-associated Pneumonia in Intensive Care Units: A Retrospective Cohort Study. Indian J Crit Care Med 2021;25(1):62–66.

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Ventilator-associated pneumonia

Cited by 30 publications

References 21 publications

A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital

A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital

Prevention of ventilator‐associated pneumonia in intensive care units: Barriers and compliance

Mechanical Insufflation-exsufflation for the Prevention of Ventilator-associated Pneumonia in Intensive Care Units: A Retrospective Cohort Study

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