Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

The combination strategy to reduce early Ventilator-associated pneumonia

(2011) The combination strategy to reduce early Ventilator-associated pneumonia. Iranian Journal of Clinical Infectious Diseases. pp. 153-158. ISSN 17355109 (ISSN)

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Abstract

Background: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units (ICUs), leading to increase in mortality and length of ICU and hospital stay as well as duration of mechanical ventilation and hospital charges. Aim: The present study was conducted to investigate the effect of combination strategy on early VAP. Methods: In a controlled clinical trial, 117 patients undergoing mechanical ventilation were evaluated in ICU in two groups comprising control (n=71) and intervention (n=46); the former received the ward's routine care, and the latter received planned nursing care protocols. Incidence of pneumonia was investigated using clinical pulmonary infection score system (CPIS) and Mini-BAL method. Results: The incidence of early VAP was 19.6 and 40.8 in the intervention and the control groups respectively (P <0.001). The early VAP rate was 22.8 and 14.41 per 1000 ventilator days in control and the intervention groups respectively. Length of ICU (P <0.02) and hospital (P<0.001) stay and also duration of mechanical ventilation (P<0.001) showed significant reduction in the intervention group compared to the controls. Conclusions: Precise implementation of planned and evidence-based nursing care is effective in reducing incidence, duration and hospital stay associated with early VAP.

Item Type: Article
Keywords: Nursing care Prevention Ventilator-associated pneumonia adult aged article artificial ventilation clinical effectiveness conservative treatment control strategy controlled clinical trial controlled study cost benefit analysis disease severity female human infection prevention intensive care unit length of stay major clinical study male nursing care plan ventilator associated pneumonia
Divisions:
Page Range: pp. 153-158
Journal or Publication Title: Iranian Journal of Clinical Infectious Diseases
Journal Index: Scopus
Volume: 6
Number: 4
Identification Number: https://doi.org/10.3410/M2-15); Cason, C.L., Tyner, T., Saunders, S., Broome, L., Nurses implementation of guidelines for ventilator-associated pneumonia from the Centers for Disease Control and Prevention (2007) Am J Cril Care, 16 (1), p. 28; Diaz, L.A., Llaurad, M., Re
ISSN: 17355109 (ISSN)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/1233

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