Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia*

Abstract

A focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia. Education programs should be more widely employed for infection control in the intensive care unit setting and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections.

Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention

“…We recommend that the clinician's practice include noninvasive mechanical ventilation over intubation when appropriate, oral intubation when an endotracheal tube is necessary, orogastric over nasogastric tubes, elevation of the head to at least 30°, minimization of sedation, administration of a proton pump inhibitor when prophylaxis is indicated, a frequency of ventilator tubing changes at 7 days or when soiled, avoidance or elimination of endotracheal tube leak, good technique in removal of condensate, and of course excellent hand hygiene. At this time we do not support the routine use of endotracheal tubes with subglottic suction capabilities, rota- (218). Success is dependent upon persistent attention to detail, high compliance rates, and a champion.…”

Preventing healthcare-associated infection through education: Have surgeons been overlooked?

“…The costs of these educational interventions are small in comparison with the estimated savings [17][18][19]36]. In these times of constrained financial resources, infection prevention and control measures become even more critical given the association between inadequate staffing in the ICU setting and increased rates of HCAI [36,[40][41][42].…”

“…Many studies over the last 10 years have demonstrated success in educating nursing staff [14,15] , critical care healthcare workers [16][17][18] as well as medical students and junior doctors [19] in the infection prevention and control of infection. The success of these numerous programmes is striking compared to the paucity of such interventions in the surgical arena.…”

“…Infection rates decreased from 4.9 to 2.1 cases per 1,000 catheter days. The effectiveness of a self-study module combined with posters, fact sheets and lectures has since been further demonstrated in the ICU setting, with several studies showing significant decreases in catheter-related bloodstream infection (CRBSI) [17,[26][27][28], VAP [18,29] and hand hygiene adherence [30].…”

Ventilatör İlişkili Pnömoni

“…Eğitim programlarının VİP'in önlenmesi konusunda oldukça yararlı olduğu göste-rilmiştir (24). Hemşirelik bakımı için özel protokoller hazırlanmasının da önlemede etkili olduğu saptanmış-tır (25).…”