Implementation of VAP Clinical Guideline (Bundle)
Implementation of VAP Clinical Guideline (Bundle)
Background Ventilator-associated pneumonia (VAP) and its prevention is a significant concern for ventilated patients in the intensive care unit.
Methods Retrospective chart review that evaluated VAP rates from August and September 2010 (control group). In addition, a chart review evaluated VAP rates from August through September 2011 (experimental group).
Outcomes Implementation of the VAP bundle will decrease ventilator days, length of stay (LOS), and VAP rates. The variables include age, ventilator days, LOS.
Design Single center retrospective chart review in a combined surgical and medical ICU
Conclusion This study provided evidence that the implementation of a VAP bundle reduced LOS.
Ventilator-associated pneumonia (VAP) and its prevention is a significant concern for ventilated patients in the intensive care unit (ICU). VAP is the leading cause of nosocomial infection in adult critically ill patients when defined as a new onset nosocomial infection that occurs more than 48 hours after the patient is intubated. VAP prolongs ventilator days and length of stay (LOS) in both the ICU and in the hospital itself; in addition, VAP is the leading cause of death among hospital-acquired infections, exceeding the rate of death as the result of central line infections, severe sepsis, and respiratory tract infections in nonintubated patients. Health care costs associated with VAP approach $40,000 per patient.Staphylococcus aureus is the most common pathogen associated with VAP and the leading cause of death among all hospital-acquired infections. Risk factors for VAP are listed inTable 1. Suggested preventive measures for VAP are listed in Table 2.
The purpose of this research was to implement a ventilator-associated pneumonia clinical practice guideline (CPG; Table 3) for nurses working in the ICU at a suburban hospital with the intent to reduce the risk of VAP in critically ill patients, reduce the LOS, and decrease the number of ventilator days of patients who receive ventilator care.
Abstract and Introduction
Abstract
Background Ventilator-associated pneumonia (VAP) and its prevention is a significant concern for ventilated patients in the intensive care unit.
Methods Retrospective chart review that evaluated VAP rates from August and September 2010 (control group). In addition, a chart review evaluated VAP rates from August through September 2011 (experimental group).
Outcomes Implementation of the VAP bundle will decrease ventilator days, length of stay (LOS), and VAP rates. The variables include age, ventilator days, LOS.
Design Single center retrospective chart review in a combined surgical and medical ICU
Conclusion This study provided evidence that the implementation of a VAP bundle reduced LOS.
Introduction
Ventilator-associated pneumonia (VAP) and its prevention is a significant concern for ventilated patients in the intensive care unit (ICU). VAP is the leading cause of nosocomial infection in adult critically ill patients when defined as a new onset nosocomial infection that occurs more than 48 hours after the patient is intubated. VAP prolongs ventilator days and length of stay (LOS) in both the ICU and in the hospital itself; in addition, VAP is the leading cause of death among hospital-acquired infections, exceeding the rate of death as the result of central line infections, severe sepsis, and respiratory tract infections in nonintubated patients. Health care costs associated with VAP approach $40,000 per patient.Staphylococcus aureus is the most common pathogen associated with VAP and the leading cause of death among all hospital-acquired infections. Risk factors for VAP are listed inTable 1. Suggested preventive measures for VAP are listed in Table 2.
The purpose of this research was to implement a ventilator-associated pneumonia clinical practice guideline (CPG; Table 3) for nurses working in the ICU at a suburban hospital with the intent to reduce the risk of VAP in critically ill patients, reduce the LOS, and decrease the number of ventilator days of patients who receive ventilator care.
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