J Korean Crit Care Nurs.  2017 Jun;10(2):14-23. 10.0000/jkccn.2017.10.2.14.

The Effects of Implementation of Ventilator-Associated Pneumonia Prevention Bundles

Affiliations
  • 1Nurse Manager, Inje University Haeundae Paik Hospital, Busan.
  • 2Professor, Department of Nursing, Institute of Health Science, Inje University, Busan.
  • 3Assistant Professor, Department of Nursing, Institute of Health Science, Inje University, Busan. jhcho@inje.ac.kr

Abstract

PURPOSE
The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle.
METHODS
This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2.
RESULTS
The numbers and incidences of VAP were significantly different among the three groups. Moreover, there were significant differences among groups in ICU length of stay and mortality.
CONCLUSION
Three different VAP prevention bundles made different effects in patient outcomes.

Keyword

Ventilator-associated pneumonia; Patient care bundles; Intensive care units; Infection control

MeSH Terms

Chlorhexidine
Humans
Incidence
Infection Control
Intensive Care Units
Length of Stay
Mortality
Patient Care Bundles
Peptic Ulcer
Pneumonia, Ventilator-Associated*
Retrospective Studies
Venous Thrombosis
Chlorhexidine
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