Eliminating Nosocomial Infections at Ascension Health

Prevention of ventilator-associated pneumonia

“…There is no consensus on the ideal set of interventions to include in VAP prevention bundles [85][86][87]. Different institutions have developed their own protocols [15][16][17][18][19][20][21].…”

“…The most famous bundle, that of the Institute for Healthcare Improvement, includes elevating the head of the bed, thromboembolism prophylaxis, stress ulcer prophylaxis, daily sedative interruption and daily assessment of patients' readiness to wean from mechanical ventilation. Some institutions, however, take issue with specific components of the bundle (stress ulcer prophylaxis, for example, is associated with an increased risk of hospital-acquired pneumonia and Clostridium difficile infections [13,14]), add additional components (such as frequent oral care with chlorhexidine) or embrace complementary interventions such as selective oral or digestive decontamination, continuous aspiration of subglottic secretions or silver-coated endotracheal tubes [15][16][17][18][19][20][21].…”

Método bundle na redução de infecção de corrente sanguínea relacionada a cateteres centrais: revisão integrativa

“…We observed that nine studies (60%) had adult population as their target audience (9,(17)(18)(22)(23)25) , two of them (13,3%) were carried out with children (5,24) , three of them (20%) with newborns (15)(16)20) , and one of them (6,7%) with both populations, in pediatric and neonatology units (14) . Eight of them (53,3%) were developed in the USA (6,9,(15)(16)18,(22)(23)25) and only three (20%) were developed in Latin America, two of them in Brazil (20)(21) and one in Colombia (14) .…”

“…Eight of them (53,3%) were developed in the USA (6,9,(15)(16)18,(22)(23)25) and only three (20%) were developed in Latin America, two of them in Brazil (20)(21) and one in Colombia (14) .…”

“…Bundle can include constant surveillance, health staff education, training of catheterinserting / handling staff and prevention strategies against bloodstream infection (9,14,(16)(17)(18)(19)(20)(21)(22)(23)(24) .…”