The Effects of Implementation of Ventilator-Associated Pneumonia Prevention Bundles / 중환자간호학회지
Journal of Korean Critical Care Nursing
; (3): 14-23, 2017.
Article
in Ko
| WPRIM
| ID: wpr-788124
Responsible library:
WPRO
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle.METHODS:
This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2.RESULTS:
The numbers and incidences of VAP were significantly different among the three groups. Moreover, there were significant differences among groups in ICU length of stay and mortality.CONCLUSION:
Three different VAP prevention bundles made different effects in patient outcomes.Key words
Full text:
1
Index:
WPRIM
Main subject:
Peptic Ulcer
/
Chlorhexidine
/
Incidence
/
Retrospective Studies
/
Mortality
/
Infection Control
/
Venous Thrombosis
/
Pneumonia, Ventilator-Associated
/
Patient Care Bundles
/
Intensive Care Units
Type of study:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of Korean Critical Care Nursing
Year:
2017
Type:
Article