Improving management of ventilator associated tracheitis in a level IV NICU.
J Perinatol
; 42(9): 1260-1265, 2022 09.
Article
em En
| MEDLINE
| ID: mdl-35449445
ABSTRACT
BACKGROUND:
There are no published guidelines regarding the diagnosis and treatment of ventilator-associated tracheitis (VAT) in the neonatal intensive care unit (NICU). VAT is likely over-diagnosed and over-treated, increasing antibiotic burden and cost. LOCALPROBLEM:
Diagnosis and treatment of VAT were entirely NICU provider dependent.METHODS:
Retrospective pre- and post-intervention chart reviews were performed.INTERVENTIONS:
A VAT diagnosis and treatment algorithm was created for use in the care of intubated patients without tracheostomies. 3 plan-do-study-act (PDSA) cycles were used to implement change.RESULTS:
Intubated patients treated for VAT with <25 PMNs on Gram stain decreased from 79% to 35% following the quality improvement (QI) initiative. Treatment of VAT with >7 days of antibiotic therapy decreased from 42% to 10%.CONCLUSION:
Implementing a QI initiative to improve the diagnosis and treatment of VAT in the NICU decreased the percent of patients treated inappropriately for VAT.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções Bacterianas
/
Traqueíte
/
Bronquite
/
Pneumonia Associada à Ventilação Mecânica
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Observational_studies
Limite:
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article