Impact of VAP bundle adherence among ventilated critically ill patients and its effectiveness in adult ICU

Samra, Saad Rabie; Sherif, Doaa; Elokda, Sherif A

doi:10.1016/j.ejcdt.2016.08.010

Cited by 31 publications

(29 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such factors include lack of education and training for nurses (Hassan and Wahsheh, 2016), lack of resources and staff (Al-Rawajfah et al, 2013), inadequate administration of antibiotics (Samrah et al, 2016), and poor compliance with infection control policies among nurses (Al-Rawajfah, 2014). The findings from this study were consistent with those of Jahansefat et al (2016) and Samra et al (2016) who reported that weak compliance by nurses contributed to a high rate of VAP in India and Egypt, respectively.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Nurses' implementation of ventilator‐associated pneumonia prevention guidelines: an observational study in Jordan

Aloush

2017

Nursing in Critical Care

View full text Add to dashboard Cite

Nurses' compliance with ventilator-associated pneumonia prevention guidelines was insufficient. Low nurse-patient ratio and large intensive care unit beds capacity were found to affect nurses' compliance and patients' outcomes. This study expanded knowledge about important aspects of nursing care; nurses' compliance with ventilator-associated pneumonia prevention guidelines and the factors that affect their compliance. This knowledge can be used by health professional to guide the clinical practice and to improve the quality of care.

show abstract

Section: Discussionsupporting

confidence: 87%

“…() and Samra et al . () who reported that weak compliance by nurses contributed to a high rate of VAP in India and Egypt, respectively.…”

Section: Discussionmentioning

confidence: 99%

Nurses' implementation of ventilator‐associated pneumonia prevention guidelines: an observational study in Jordan

Aloush

2017

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

“…In addition, previous extensive exposure to antimicrobials increases the risk of developing MDR pathogens [25]. It was reported that the most common causative pathogens of VAP, especially in patients with underlying serious diseases, include aerobic Gram-negative bacilli such as P. aeruginosa, E. coli, K. pneumoniae and Acinetobacter species, besides Gram-positive bacteria such as S. aureus [26]. Consistent with these previous data, Gramnegative bacteria represented the most frequently isolated microorganisms from ETA specimens in the current study with a percentage of 83% (44/53), followed by fungal isolates and Gram-positive bacterial isolates with percentages of 9.5% (5/53) and 7.5% (5/53), respectively.…”

Section: Discussionmentioning

confidence: 99%

Microbiological profile of ventilator-associated pneumonia among intensive care unit patients in tertiary Egyptian hospitals

Farag

Tawfick

Abozeed

et al. 2020

J Infect Dev Ctries

View full text Add to dashboard Cite

Introduction: Ventilator-associated pneumonia (VAP) is one of the common serious infectious diseases encountered in the intensive care unit (ICU), which highly affects the healthcare cost and patient prognosis. VAP is caused by various antimicrobial-resistant aetiological agents and the clinical manifestations lack sensitivity and specificity, making the prompt treatment is a challenge. This study aimed to investigate the microbial profile of VAP causing microorganisms among ICU patients in Egypt, antimicrobial susceptibility patterns and the genetic diversity among the frequently isolated organisms. Methodology: Throughout the period from August 2016 to August 2017, endotracheal aspirate (ETA) specimens were collected from ICU patients with clinically suspected VAP in two tertiary hospitals in Cairo. ETA specimens were investigated for the microbial content. The antimicrobial susceptibility was determined by the Kirby-Bauer method. ERIC-PCR was performed for genotyping. Results: Fifty microbiologically confirmed VAP cases were identified. The most frequently isolated microorganisms were Klebsiella spp., followed by Pseudomonas aeruginosa, Acinetobacter baumannii. Candida spp. was the most isolated fungi. A single isolate of each Cupriavidus pauculus and Aeromonas salmonicida was isolated. Antimicrobial susceptibility profiles indicated 40% of isolates were multidrug-resistant (MDR). ERIC-PCR revealed no genetic relatedness among K. pneumoniae isolates, the most frequently isolated microorganism. Conclusions: Gram-negative bacteria are the main causative agents of VAP cases, which mostly are MDR. Microorganisms like C. pauculus and A. salmonicida should be taken into consideration as VAP causative agents. There was no common source of infection suggesting likely endogenous sources of K. pneumoniae, the main causative agent of VAP in this study.

show abstract

“…(10,14,19) Oral hygiene with chlorhexidine is not a risk-free intervention and the indiscriminate use of this antiseptic should be avoided through the divergence of results described in the literature for specific populations. (21) Regarding cuff pressure, it is a measure considered level of evidence III, because results of clinical trials performed did not have an impact on length of stay in the ICU and mortality rates. Such an intervention presents satisfactory results in the duration of the MV and is therefore still a recommended measure to be part of the sets of good practices.…”

Section: Discussionmentioning

confidence: 99%

Boas práticas na prevenção de pneumonia associada à ventilação mecânica

et al. 2019

View full text Add to dashboard Cite

Resumo Objetivo: Avaliar a adesão dos profissionais de saúde a um conjunto de boas práticas de prevenção de Pneumonia Associada à Ventilação Mecânica, índice de conformidade às medidas individuais e associação de características clínicas dos pacientes e adesão ao conjunto de boas práticas com a pneumonia. Métodos: Estudo de coorte prospectivo realizado em uma Unidade de Terapia Intensiva de um hospital universitário no período de maio de 2017 a outubro de 2017. A amostra foi composta por pacientes internados no período do estudo, que preencheram os critérios de inclusão, a coleta de dados foi realizada por meio de consulta a prontuários. Resultados: O item com maior adesão foi a avaliação diária da sedação e redução sempre que possível, 81 (91,0%), seguido da troca do circuito a cada 7 dias, 76 (82,6). A manutenção da pressão do cuff entre 20 e 30 mm H2O foi o item com menor adesão 22 (23,9%). A adesão ao conjunto completo apresentou conformidade em 20 (21,7%) das oportunidades. O estudo mostrou que quanto maior a adesão às medidas de boas práticas, menor é o risco de Pneumonia Associada à Ventilação Mecânica, porém não foi um dado estatisticamente significante. Os pacientes cirúrgicos e em uso de ventilação mecânica apresentaram maior risco de desenvolver PAV (p= 0,05). Conclusão: A Pneumonia Associada à Ventilação Mecânica pode trazer grave repercussão para o paciente, a aplicação de medidas com embasamento científico é fundamental, a fim de se prevenir a ocorrência deste agravo, que é uma das mais frequentes infecções relacionadas à assistência à saúde dentro das Unidades de Terapia Intensiva brasileiras.

show abstract

Impact of VAP bundle adherence among ventilated critically ill patients and its effectiveness in adult ICU

Cited by 31 publications

References 17 publications

Nurses' implementation of ventilator‐associated pneumonia prevention guidelines: an observational study in Jordan

Nurses' implementation of ventilator‐associated pneumonia prevention guidelines: an observational study in Jordan

Microbiological profile of ventilator-associated pneumonia among intensive care unit patients in tertiary Egyptian hospitals

Boas práticas na prevenção de pneumonia associada à ventilação mecânica

Contact Info

Product

Resources

About