Effect of implementation of a new preventive measure bundle on the incidence of ventilator associated pneumonia
Authors:
P. Novotný; M. Voldřich; T. Tyll
Authors place of work:
Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a Ústřední vojenská nemocnice-Vojenská fakultní nemocnice Praha
Published in the journal:
Anest. intenziv. Med., 26, 2015, č. 6, s. 342-349
Category:
Intensive Care Medicine - Original Paper
Summary
Objective:
Our goal was to assess the influence of implementation of a new preventive measure bundle against ventilator associated pneumonia (VAP) on the incidence of VAP in the period of 2008–2013.
Design:
Single centre, prospective, observational study.
Setting:
ICU of a University hospital.
Materials and methods:
Patients hospitalized in the ICU from 1st January 2008 to 31st December 2013 were enrolled into the study. We prospectively collected the following data: the number of patients on artificial lung ventilation (ALV), number of patients on ALV longer than 48 hours, number of days of treatment, number of ventilator days and the rate of VAP. From 2011 we regularly evaluated compliance with the preventive measure bundle initially once a week, later on once a month. In colaboration with the hospital epidemiologist, from 2010 we also evaluated compliance with hand hygiene by random checks.
Results:
Implementation of a preventive measure bundle against VAP, including systematic education of the hospital staff and improvement in the compliance with preventive measures, led to decreased incidence of this nosocomial complication. Our results are comparable or better than the data published in the database of the European Center for Disease Prevention and Control (ECDC).
Conclusion:
Implementation of a simple set of preventive measures led to a substantial reduction in VAP incidence.
Keywords:
audit – incidence preventive measure – ventilator associated pneumonia
Zdroje
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Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2015 Číslo 6
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