The Combination Strategy to Reduce Early Ventilator Associated Pneumonia

AUTHORS

Hakimeh Arabnejad 1 , Abbas Ebadi 2 , * , Mahdi Ahmadinejad 3 , Nematollah Jonid Jaffari 4 , Sayed Davood Tadrisi 5 , Masoud Saghafinia 6 , Abbas Ali Imani Fooladi 7

1 Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, IR Iran

2 Assistant Professor, Nursing Faculty Baqiyatallah University of Medical Sciences, Tehran, IR Iran

3 Assistant Professor, Anesthesiologist and Specialist in ICUMD, Bahonar Hospital, Kerman University Medical of Sciences, Kerman, IR Iran

4 Assistant Professor, Specialist in Infection Disease, Health Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran

5 Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, IR Iran

6 Assistant Professor, Anesthesiologist, Trauma Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran

7 Assistant Professor, Microbiology Applied Microbiology, Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran

How to Cite: Arabnejad H, Ebadi A, Ahmadinejad M, Jonid Jaffari N, Tadrisi S D, et al. The Combination Strategy to Reduce Early Ventilator Associated Pneumonia, Arch Clin Infect Dis. Online ahead of Print ; 6(4):-.

ARTICLE INFORMATION

Archives of Clinical Infectious Diseases: 6 (4)
Article Type: Research Article

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Abstract

Background: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units(ICUs), leading to increase in mortality and length of ICU and hospital stay as well as duration of mechanical ventilationand hospital charges .

Methods: In a controlled clinical trial, 117 patients undergoing mechanical ventilation were evaluated in ICU in two groups comprising control (n=71) and intervention (n=46); the former received the ward's routine care, and the latter received planned nursing care protocols. Incidence of pneumonia was investigated using clinical pulmonary infectionscore system (CPIS) and Mini-BAL method .

Results: The incidence of early VAP was 19.6% and 40.8% in the intervention and the control groups respectively (P<0.001). The early VAP rate was 22.8 and 14.41 per 1000 ventilator days in control and the intervention groups.respectively. Length of ICU (P <0.02) and hospital (P<0.001) stay and also duration of mechanical ventilation (P<0.001)showed significant reduction in the intervention group compared to the controls.

Conclusions: Precise implementation of planned and evidence-based nursing care is effective in reducing incidence,duration and hospital stay associated with early VAP .

Keywords

Ventilator Associated Pneumonia, Nursing Care, Prevention.

© 0, Archives of Clinical Infectious Diseases. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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