Compliance with the Standards for Prevention of Ventilator Associated Pneumonia by Nurses in the Intensive Care Units
Abstract
Introduction: Ventilator‑associated pneumonia (VAP) is the most common infection in the intensive care unit, and has many side effects such as increased mortality, increased length of hospital stay, and increased health costs. This study aimed to evaluate the compliance with the standards for prevention of VAP by nurses in the intensive care units.
Materials and Methods: In this descriptive cross‑sectional study, 120 nurses in 11 intensive care units of hospitals affiliated to Isfahan university of Medical Sciences, Iran, were assessed for 4 months from July to October 2014. The implementation of all measures for the prevention of VAP was investigated through observation and using a checklist.
Results: The mean compliance with the standards for the prevention of VAP in the intensive care unit by the nurses was 56.32%; analysis of variance test showed significant difference
between the hospitals (P < 0.001). Disposable ventilator circuit was performed for all patients; however, reviewing the patient readiness for separation from the ventilator was not conducted on a daily basis.
Conclusions: Compliance with the standards for the prevention of VAP in the intensive care units was relatively acceptable; however, it still requires serious attention by the officials with training and sensitization of nurses in implementing preventive measures, especially through the provision of clinical guidelines and related protocols.
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Sabery M, Shiri H, Moradiance V, Taghadosi M, Gilasi HR, Khamechian M. The frequency and risk factors for early‑onset ventilator‑associated pneumonia in intensive care units of Kashan Shahid‑Beheshti. J Kashan Univ Med Sci 2013;6:560‑9.
Khorvash F, Abbasi A, Meidani M, Dehdashti F, Ataei B. The comparison between proton pump inhibitors and sucralfate in incidence of ventilator associated pneumonia in critically ill patients. Adv Biomed Res 2014;3:52.
Rello J, Chastre J, Cornaglia G, Masterton R. A European care bundle for management of ventilator‑associated pneumonia. J Crit Care 2011;26:3‑10.
El Azab SR, El Sayed AE, Abdelkarim M, Al Mutairi KB, Al Saqabi A, El Demerdash S. Combination of ventilator care bundle and regular oral care with chlorhexidine was associated with reduction in ventilator associated pneumonia. Egyptian J Anaesth 2013;29:273‑7.
Afkhamzadeh A, Lahoorpour F, Delpisheh A, Janmardi R. Incidence of ventilator‑ associated pneumonia (VAP) and Bacterial resistance pattern in adult patients hospitalised at the intensive care unit of Besat Hospital in Sanandaj. SJKU 2011;16:20‑6.
Ebrahimi Fakhar H, Rezaie K, kohestani H. Effect of closed endotracheal suction on incidence of ventilator‑associated Pneumonia. SJKU 2010;15:79‑87.
Safdari R, Yazdannik A, Abbasi S. Effect of intermittent subglottic secretion drainage on ventilator‑associated pneumonia: A clinical trial. Iran J Nurse Midwifery Res 2014;19:376‑80.
Chow MC, Kwok SM, Luk HW, Law JW, Leung BP. Effect of continuous oral suctioning on the development of ventilator‑associated pneumonia: A pilot randomized controlled trial. Int J Nurs Stud 2012;49:1333‑41.
Gallagher JA. Implementation of Ventilator‑Associated Pneumonia Clinical Guideline (Bundle). J Nurse Pract 2012;8:377‑82.
Craven DE, Lei Y, Ruthazer R, Sarwar A, Hudcova J. Incidence and Outcomes of Ventilator‑associated Tracheobronchitis and Pneumonia. Am J Med 2013;126:542‑9.
Micik S, Besic N, Johnson N, Han M, Hamlyn S, Ball H. Reducing risk for ventilator associated pneumonia through nursing sensitive interventions. Intensive Crit Care Nurs 2013;29:261‑5.
Rebmann T, Greene LR. Preventing ventilator‑associated pneumonia: An executive summary of the Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guide. Am J Infect Control 2010;38:647‑9.
Giard M, Lepape A, Allaouchiche B, Guerin C, Lehot JJ, Robert MO, et al. Early‑ and late‑onset ventilator‑associated pneumonia acquired in the intensive care unit: Comparison of risk factors. J Crit Care 2008;23:27‑33.
Muscedere J, Dodek P, Keenan S, Fowler R, Cook D, Heyland D, et al. Comprehensive evidence‑based clinical practice guidelines for ventilator‑associated pneumonia. J Crit Care 2008;23:126‑37
Sundar KM, Nielsen D, Sperry P. Comparison of ventilator‑associated pneumonia (VAP) rates between different ICUs. J Crit Care 2012;27:26‑32
Arabi Y, Al‑Shirawi N, Memish Z, Anzueto A. Ventilator‑associated pneumonia in adults in developing countries: A systematic review. Int J Infect Dis 2008;12:505‑12.
Kandeel N, Tantawy N. Current Nursing Practice for Prevention of Ventilator Associated Pneumonia in ICUs. Life Sci J 2012;9.
Jam Gatell MR, Santé Roig M, Hernández Vian Ó, Carrillo Santín E, Turégano Duaso C, Fernández Moreno I, et al. Assessment of a training program for the prevention of ventilator‑associated pneumonia. Nurs Crit Care 2012;17:285‑92.
Shaaban Ali N. Critical Care Nurses' Knowledge and Compliance with Ventilator Associated Pneumonia Bundle at Cairo University Hospitals. J Edu Pract 2013.
Eom JS, Lee MS, Chun H, Choi H, Jung SY, Kim YS, et al. The impact of a ventilator bundle on preventing ventilator‑associated pneumonia: A multicenter study. Am J Infect Control 2014;42:34‑7.
Bird D, Zambuto A, O’Donnell C, Silva J, Korn C, Burke R, et al. Adherence to Ventilator‑Associated Pneumonia Bundle and Incidence of Ventilator‑Associated Pneumonia in the Surgical Intensive Care Unit. Arch Surg. 2010;145:465‑70.
Akın Korhan E, Hakverdioğlu Yönt G, Parlar Kılıç S, Uzelli D. Knowledge levels of intensive care nurses on prevention of ventilator‑associated pneumonia. Nurs Crit Care 2014;19:26‑33.
Kiyoshi‑Teo H, Cabana MD, Froelicher ES, Blegen MA. Prevention Guidelines Adherence to Institution‑Specific Ventilator‑Associated Pneumonia. Am J Crit Care. 2014;23:201‑144.
Behesht Aeen F, Zolfaghari M, Asadi Noghabi AA, Mehran A. Nurses’ Performance in Prevention of Ventilator associated Pneumonia. Hayat J 2013;19:17‑27.
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