Exposure to reprocessed single-use tracheal suction catheter and ventilator-associated pneumonia risk: A preliminary, single unit–based, matched case-control study

Gutiérrez, John Mark M.; Millare, Perciveranda A.; Al-Shenqiti, Yousef A.; Enaya, Abdallah A.

doi:10.1016/j.jcrc.2015.11.018

Cited by 4 publications

(7 citation statements)

References 31 publications

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“…The inclusion and exclusion criteria for patient selection was based on previous similar studies. [20,21] Patients were allocated sequentially to one of two methods of suctioning with 40 patients in each group. In the first 3 months of the study, the control group was enrolled and in the next 3 months the intervention group was enrolled to avoid contamination of the intervention.…”

Section: Subjectsmentioning

confidence: 99%

The effect of different suctioning modalities on physiologic measures and the incidence of ventilator associated pneumonia

Hussein

Zahran²,

Badr³

et al. 2016

JNEP

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Objective: To compare physiologic measures and the incidence of ventilator associated pneumonia (VAP) using different modalities of endotrachael tube (ETT) suctioning. Methods: A Quasi-experimental design was used with 80 adults in an intensive care unit. Two modalities of suctioning were compared: 1) not instilling normal saline (NS) into the ETT before suctioning, and 2) instilling NS into the ETT tube before suctioning. The outcome variables were: physiologic measures (heart rate, respiratory rate and blood pressure and oxygen saturation), the incidence of Ventilator Associated Condition (VAC) and Possible Ventilator Associated Pneumonia (PVAP) at day 5 after mechanical ventilation. Results: There were no differences in the physiologic measures assessed at day 5 and a significantly higher rate of VAC in patients who had NS installed (p = .009). Four patients developed PVAP compared to 10 patients in group 2 where NS was installed but that did to reach significance (p = .077). Factors associated with VAC were age, WBC > 12,000, antibiotic use, amount of secretions, and NS installation. The same factors were associated with the development of PVAP with the exception of NS installation which did not reach significance. Conclusions: Installing NS in the ETT tube did not result in significant physiologic changes at day 5, and more rates of VAC and PVAP were noted. Therefore, the use of this procedure is questionable and further studies are needed to provide conclusive evidence.

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Section: Subjectsmentioning

confidence: 99%

The effect of different suctioning modalities on physiologic measures and the incidence of ventilator associated pneumonia

Hussein

Zahran²,

Badr³

et al. 2016

JNEP

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“…In low and middle-income countries, open endotracheal suction catheter is used multiple times to perform suctioning due to limited resources ( 1 , 2 ). Currently, there is limited evidence for using a new suction catheter for each suction pass, acknowledged in a review article of endotracheal suction procedures in pediatric populations ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…The guidelines adopted a study conducted in 2001 which showed that reusing an open tracheal suctioning catheter is safe and cost effective ( 5 ). Therefore, the current evidence of reusing suctioning catheters remains unclear, which rationalize the reason why some resource limited intensive care units (ICUs) using the catheter multiple times during a 12-h shift, and possibly explain the high ventilator associated pneumonia (VAP) incidence in these ICUs ( 1 , 2 ).…”

Section: Introductionmentioning

confidence: 99%

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Suction circuit flushing with chlorhexidine decreases ventilator-associated pneumonia: a quasi-experimental study

Eid,

Ţânţu,

Latour

et al. 2023

Front. Med.

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BackgroundEndotracheal suctioning of mechanically ventilated patients differs across the world. In many low and middle-income countries, endotracheal suctioning is often performed with a sterile suctioning catheter that is used for 12 h or during the length of one nursing shift. The effect of flushing multiple used endotracheal suction system with chlorhexidine after suctioning to reduce ventilator associated pneumonia (VAP) remains unclear.AimThe aim of the study is to assess the effectiveness of flushing multiple-used open endotracheal suction catheters and suctioning system with chlorhexidine gluconate 0.2% to reduce VAP in mechanically ventilated patients in a resource-limited Intensive Care Unit (ICU).MethodsDue to the difficulty of blinding the intervention for nurses who perform endo-tracheal suction procedures, we adopted a quasi-experimental method with a randomized controlled trial design. A sample of 136 ICU patients were allocated to the intervention (n = 68) or control group (n = 68) between May and November 2020. The intervention was flushing the multiple-used suction catheter and suction system with 40ml chlorhexidine gluconate 0.2% and in the control group we used normal saline to flush the catheter and suction system. The primary outcome was incidence of VAP and the cost of the flushing solutions was the secondary outcome measure.ResultsPatients in the intervention group had a lower incidence of VAP compared to patients in the control group; 15 (22.1%) vs 29 (42.6%), p = 0.01. The incidence of late-onset VAP was 26.2% in the intervention group and 49% in the control group (p = 0.026) and the early-onset VAP was 13.2% in the intervention group and 25% in the control group (p = 0.081). Chlorhexidine gluconate 0.2% reduced the cost of suction system flushing (median: 78.4 vs 300 EGP, p < 0.001).ConclusionUsing chlorhexidine gluconate 0.2% to flush multiple-used suctioning catheters after every endo-tracheal suction procedure might reduce the incidence of VAP in mechanically ventilated patients. Chlorhexidine gluconate 0.2% can be a cost-effective solution for flushing the suction circuit. Nurses working in resource-limited ICUs and using suctioning catheters multiple times might consider using chlorhexidine gluconate 0.2% instead of normal saline or distilled water when flushing the suction system.Clinical trial registrationClinicalTrials.gov, identifier NCT05206721.

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“…A aspiração de VAA destaca-se enquanto uma intervenção de Enfermagem que, embora mandatória, tem sido associada a numerosos eventos adversos (AKTAŞ; KARABULUT, 2016;BALBINO et al, 2016;GUTIÉRREZ et al 2016;LIU et al, 2015;MOHAMMADPOUR et al, 2015;VIANNA et al, 2017), tornando-se de maior relevância garantir a competência dos profissionais de saúde que a realizam (MILLER et al, 2019).…”

Section: Validação Do Programa De Ensino Híbridounclassified

Ensino híbrido para o desenvolvimento de competências na intervenção de Enfermagem aspiração de vias aéreas artificiais

Cordeiro¹

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Exposure to reprocessed single-use tracheal suction catheter and ventilator-associated pneumonia risk: A preliminary, single unit–based, matched case-control study

Cited by 4 publications

References 31 publications

The effect of different suctioning modalities on physiologic measures and the incidence of ventilator associated pneumonia

The effect of different suctioning modalities on physiologic measures and the incidence of ventilator associated pneumonia

Suction circuit flushing with chlorhexidine decreases ventilator-associated pneumonia: a quasi-experimental study

Ensino híbrido para o desenvolvimento de competências na intervenção de Enfermagem aspiração de vias aéreas artificiais

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