Evaluation of prevention and control measures for ventilator-associated pneumonia

Silva, Leandra Terezinha Roncolato da; Laüs, Ana Maria; Canini, Sílvia Rita Marin da Silva; Hayashida, Miyeko

doi:10.1590/s0104-11692011000600008

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…In other studies a reduction of 51% in the incidence of VAP was observed after adoption of protocols with preventive measures for VAP (1) . In this study, in which there was a reduction in incidence, the adoption of preventive measures occurred concomitantly with an educational program, which did not happen in the present study, because there was admission of professionals (doctors, nurses, nursing technicians, and physiotherapists) in the referred hospital, which required, in addition to training, an adaption period.…”

Section: Discussionmentioning

confidence: 73%

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Impactos e fatores determinantes no bundle de pneumonia associada à ventilação mecânica

et al. 2016

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Objective: Assessing the determining impacts and factors in ventilator-associated pneumonia (VAP) bundle. Method: descriptive retrospective longitudinal study, with quantitative approach, held at a public teaching hospital. Collection held between May 2014 and April 2015. Patients of the ICU with VAP participated in the research. For organizing data, the Microsoft Excel 2010 program was used. A critical analysis between the data collected and infection rates was performed. The survey was approved under no. 566,136. Results: an increase in the incidence of VAP after implementing the bundle was observed; the prevalent pathogens were gram-negative bacteria. Deaths were equal to or greater than 50%. Changes of professionals and lack of supplies were determining factors. Conclusion: in this context, the need for permanent qualifi cation of the team is emphasized, with the purpose of promoting the adherence to the protocol and preventing VAP. Descriptors: Pneumonia; Intensive Care Units; Patient Safety; Prevention; Ventilator-Associated Pneumonia. RESUMOObjetivo: avaliar os impactos e fatores determinantes no cumprimento do bundle para redução da pneumonia associada à ventilação mecânica. Método: estudo longitudinal retrospectivo, descritivo, com abordagem quantitativa, realizado no Hospital público de ensino. Coleta realizada entre maio de 2014 e abril de 2015. Participaram da pesquisa, os pacientes da UTI, notifi cados com PAV. Para a organização dos dados foi utilizado o programa Microsoft Excel 2010. Estabeleceu-se uma análise crítica entre os dados levantados e as taxas de infecção. A pesquisa obteve parecer favorável, sob o n° 566.136. Resultados: observou-se aumento na incidência de PAV após implementação do bundle; os patógenos prevalentes foram bactérias gram-negativas. Os óbitos foram iguais ou maiores a 50%. As mudanças de profi ssionais e a falta de insumos foram fatores determinantes. Conclusão: nesse contexto, ressalta-se a necessidade de qualifi cação permanente da equipe, com o propósito de favorecer a adesão ao protocolo e prevenir a PAV. Descritores: Pneumonia; Unidades de Terapia Intensiva; Segurança do Paciente; Prevenção; Pneumonia Associada à Ventilação Mecânica. RESUMENObjetivo: evaluar los impactos y factores determinantes en el cumplimiento del bundle para reducir la neumonía asociada a la ventilación mecánica (NAV). Método: se trata de un estudio descriptivo retrospectivo longitudinal con un enfoque cuantitativo, realizado en el hospital público universitario. La recolección de datos se ha llevado a cabo entre mayo de 2014 y abril de 2015. Los participantes fueron los pacientes de la UCI reportados con NAV. Para la organización de los datos se utilizó el programa Microsoft Excel 2010. Se estableció un análisis crítico de los datos recogidos y las tasas de infección. La investigación fue aprobada bajo el número de registro 566.136. Resultados: hubo un aumento en la incidencia de NAV después de la implementación del bundle; los patógenos prevalentes fueron las bacterias gramnegativas. L...

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Section: Discussionmentioning

confidence: 73%

“…Hospital infections are currently known as Health care-associated infections (HAI), which may be defined as any infection that affects the individual, whether in hospitals, ambulatory care in partial hospitalization, or home care associated with some sort of care procedure, both therapeutic and diagnostic (1) .…”

Section: Introductionmentioning

confidence: 99%

Impactos e fatores determinantes no bundle de pneumonia associada à ventilação mecânica

et al. 2016

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“…14 Similarly, another Brazilian study displayed compliance below the expected rate (>80%), in which the head of bed elevation was maintained between 30-45º in 72.1% of the observations. 15 The literature provides some explanations for this difficulty in maintaining the head of bed elevated between 30-45°.…”

Section: Discussionmentioning

confidence: 90%

Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit

Silva

Salles

Nascimento

et al. 2014

Texto contexto - enferm.

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We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.

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“…The increase in incidence after implementation of the preventive measures did not corroborate literature, because there was an increase in infections. In other studies a reduction of 51% in the incidence of VAP was Determining impacts and factors in ventilator-associated pneumonia bundle observed after adoption of protocols with preventive measures for VAP (1) . In this study, in which there was a reduction in incidence, the adoption of preventive measures occurred concomitantly with an educational program, which did not happen in the present study, because there was admission of professionals (doctors, nurses, nursing technicians, and physiotherapists) in the referred hospital, which required, in addition to training, an adaption period.…”

Section: Discussionmentioning

confidence: 99%

Impactos E Fatores Determinantes No Bundle De Pneumonia Associada À Ventilação Mecânica

Rodrigues¹,

Fragoso²,

Beserra³

et al. 2021

Teoria E Prática De Enfermagem: Da Atenção Básica À Alta Complexidade

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Evaluation of prevention and control measures for ventilator-associated pneumonia

Cited by 9 publications

References 15 publications

Impactos e fatores determinantes no bundle de pneumonia associada à ventilação mecânica

Impactos e fatores determinantes no bundle de pneumonia associada à ventilação mecânica

Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit

Impactos E Fatores Determinantes No Bundle De Pneumonia Associada À Ventilação Mecânica

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