Ventilator-associated pneumonia in the neonatal intensive care unit

Khattab, Ahmed A.; El-Lahony, Dalia M; Soliman, Wessam F.

doi:10.4103/1110-2098.132753

Cited by 15 publications

(6 citation statements)

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“…Although, approximately two thirds of studied neonates (62.0%) were delivered by cesarean section and only (16.0%) of them having congenital anomalies. These findings were in contrast with the study done by Khattab et al, [24] stated that, the mean gestational age of infants diagnosed with VAP was significantly lower than that of the non-VAP group. Also, the mean birth weight of the VAP group was significantly lower than that of the non-VAP group (p = .05).…”

Section: Discussioncontrasting

confidence: 99%

“…The recent study clarify that there were significant statistically differences among studied nurses pre and post nursing implementation guidelines regarding mechanical ventilator care & setting, in addition to, universal precautions as wear a protective clothes (gown, gloves, and mask). As stated by Khattab et al [24] that care of the ventilator included: clear the condensate from ventilator circuit and prevent condensate from tiring into the airway of the neonates, heat of ventilator circuits, change ventilator circuits when observed a soiled as preventing contamination of the equipment. This result is concurrent with EL Nabawy et al [16] who stated that most of the studied nurses confirmed incorrect answer regarding continuous condensation in the ventilator circuit, ventilator circuit changes, maintenance of bed side, air way humidifier, suction system, change of suction systems, types of endotracheal tubes, maintain head of the bed ,and hand hygiene.…”

Section: Discussionmentioning

confidence: 99%

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Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study. Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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“…Apisarnthanarak et al 16 reported that hypothermia (79%) and new-onset tachypnea (63%) were the most common clinical symptoms in extremely preterm neonates. Khattab et al 32 compared neonates with and without VAP, and they found that chest auscultation findings and mucopurulent endotracheal tube secretion occurred in w80% of the neonates with VAP. In our patients with VAP, new-onset apnea was the most common clinical sign.…”

Section: Discussionmentioning

confidence: 99%

Ventilator-Associated Pneumonia in Low Birth Weight Neonates at a Neonatal Intensive Care Unit: A Retrospective Observational Study

Lee

Chen

2017

Pediatrics & Neonatology

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“…Y enidoğan döneminde solunum problemleri önemli mortalite ve morbidite nedenlerindendir (1). Noninvazif (NİMV) ve invazif mekanik ventilasyon (İMV) teknikleri solunum güçlüğü yaşayan ya da solunumu olmayan bebeklerin tedavisinde oksijenizasyon ve ventilasyonu sağlamak için kullanılan tekniklerin başında gelmektedir (1,2) İMV tedavi etmesinin yanı sıra beraberinde Ventilatör İlişkili Pnömoni (VİP) (%.55,2), Bronkopulmoner Displazi (BPD) (1000 gr altı bebekler %52, 1000 gr üstü bebekte %34) (5,6), nozokomiyal enfeksiyon (%24,15) ve pulmoner hemoraji (%12,71) çok sık gelişen komplikasyon ve riskleri geliştirebilmektedir (3)(4)(5).…”

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“…Yoğun bakım ünitelerinde yaygın kullanılan İMV uygulamasının başarısı ya da başarısızlığında en önemli faktörlerden biri de, bebeğin bakımından sorumlu hemşirenin bilgi ve becerisini doğru kullanmasından geçmektedir. Hemşirelik uygulamalarının bireysel farklılık göstermesi ve uygun olmayan yöntemlerin kullanılması, solunum tedavisini geciktirmekte ve komplikasyonları arttırmaktadır (6) Mekanik ventilasyon tedavisi alan entübe hastanın aspirasyonuna bağlı komplikasyonların önlenebilmesi (3)(4)(5) izlemi ve uygun yatış pozisyonunun sağlanmasında yenidoğan hemşirelerinin önemli rolleri bulunmaktadır (1,3,7,8).…”

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Mekanik Ventilasyon Tedavisi Alan Yenidoğanların Bakımında Hemşire: Eğitim ve Bilgi Düzeyi İlişkisi

Başara¹,

Küçük²

2020

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ÖZET Amaç: Araştırma altı hastanenin Yenidoğan Yoğun Bakım Üniteleri'nde (YYBÜ) çalışan 222 hemşire ile MV bakımına ilişkin bilgi durumlarının belirlenmesi amacıyla, tanımlayıcı kesitsel tipte yapılmıştır Hastalar ve Yöntem: Altı hastanenin Yenidoğan Yoğun Bakım Üniteleri'nde (YYBÜ) çalışan 222 hemşire ile MV bakımına ilişkin bilgi durumlarının belirlenmesinde veriler veri toplama formu ile toplanmıştır. Değerlendirmede sayı, yüzde, ortalama, ki kare test istatistikleri kullanılmış, anlamlılık değeri p<0,05 kabul edilmiştir. Bulgular: Hizmet içi eğitim alma, kullanılan mekanik ventilatör tipini bilme, aspirasyon sıklığının belirlenmesi, aspirasyon sırasında gelişen riskler, ağız bakımı malzemeleri, Sertifika Eğitimi ise MV pozisyonu verme, pozisyon değiştirme süresi, aspirasyonda uygulanması gereken basınç ve süreyi bilmeyi etkilemektedir (p<0,05) Sonuç: Yenidoğan Yoğun Bakım Ünitesi hemşirelerinin mekanik ventilatör tedavisi sırasında, yenidoğanın pozisyon, aspirasyonu ve ağız bakımı konularındaki bilgi düzeyleri yeterli olmadığı belirlenmiştir. Hemşirelerin, sertifika ve hizmet içi eğitimleri entegre alması, uygulama protokolleri oluşturulması, uzman hemşire rehberlerin ünitede görev yapması önerilebilir. Anahtar sözcükler: Ebeveyn, kaygı, yenidoğan, yenidoğanın geçici takipnesi NURSE IN THE CARE OF THE NEWBORNS WITH MECHANICAL VENTILATION TREATMENT: EDUCATION AND INFORMATION LEVEL RELATIONSHIP ABSTRACT Purpose: A descriptive cross-sectional survey was used in order to determine nurses' level of knowledge about mechanical ventilation (MV) treatment with 222 nurses who are employees in six hospitals and work in the neonatal intensive care unit (NICU). Patients and Methods: In order to determine nurses' level of knowledge about mechanical ventilation (MV)treatment with 222 nurses who are employees in six hospitals and work in the neonatal intensive care unit (NICU), the data were collected using the data collection form. Number, percentage, mean and chi-square test statistics were used in the assessment and a statistical significance rate of p<0.05 was accepted.Results: In-service training, knowing/knowledge about the type of mechanical ventilation that is used, determining the frequency of aspiration, risks that might develop during the aspiration, oral care supplies and education certificate, on the other hand, affect the changing of MV position, the duration of changing the MV position, and also affect the knowledge of pressure and duration that are required to be applied during the aspiration (p<0.05).Conclusion: It is determined that during mechanical ventilation treatment, the knowledge of nurses working in the NICU was inadequate in terms of newborns position, aspiration and oral care. It can be recommended that getting nursing certification and in-service training integrated, creation of application protocols and working nurse expert guides in the unit. In-service training, nursing certification, creating guidelines for nurse protocols/nursing assessment protocols and being guided by an experienced nurse ...

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Ventilator-associated pneumonia in the neonatal intensive care unit

Cited by 15 publications

References 0 publications

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Ventilator-Associated Pneumonia in Low Birth Weight Neonates at a Neonatal Intensive Care Unit: A Retrospective Observational Study

Mekanik Ventilasyon Tedavisi Alan Yenidoğanların Bakımında Hemşire: Eğitim ve Bilgi Düzeyi İlişkisi

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