[Reducing the incidence of ventilator-associated pneumonia following heart surgery: 13-year experience of epidemiologic surveillance in a teaching hospital]. / Reducción de incidencia de neumonía asociada a ventilación mecánica post cirugía cardíaca: experiencia de 13 años de vigilancia epidemiológica en un hospital universitario.
Rev Chilena Infectol
; 30(2): 129-34, 2013 Apr.
Article
em Es
| MEDLINE
| ID: mdl-23677150
ABSTRACT
OBJECTIVES:
To report the results of 13 years worth of epidemiologic surveillance of ventilator-associated pneumonia (VAP) following heart surgery and the main interventions applied in order to reduce VAP incidence.METHODS:
This is a retrospective and descriptive study of active epidemiologic surveillance of VAP. National diagnostic criteria were used. Interventions associated with a decrease in VAlP incidence in adults who underwent heart surgery are described.RESULTS:
A significant and sustained reduction was observed in the rate of VAP; being 56.7 per 1,000 ventilator-days in 1998 vs 4.7 per 1,000 ventilator-days in 2010 (p < 0.001). The strongest reduction was observed following 2003 (34.4 to 14.8 per 1,000 ventilator-days in 2004, p < 0.001). The interventions with greatest impact were the implementation of an early-weaning protocol, the introduction of trained nurses to perform the mechanical ventilator equipment management and the routine use of alcohol-based hand rubs.CONCLUSION:
Epidemiologic surveillance associated with the establishment of a multifactorial intervention program applied in collaboration with the attending team, have demonstrated a significant reduction of VAP incidence after heart surgery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Controle de Infecções
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Pneumonia Associada à Ventilação Mecânica
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Monitoramento Epidemiológico
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Procedimentos Cirúrgicos Cardíacos
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Hospitais de Ensino
Idioma:
Es
Ano de publicação:
2013
Tipo de documento:
Article