Effect of ventilator circuit changes on ventilator-associated pneumonia: A systematic review and meta-analysis

Respiratory Care

Volumn 55, Issue 4, 2010, Pages 467-474

  Han, Jiangna ^a   Liu, Yaping ^b  

^a PEKING UNION MEDICAL COLLEGE HOSPITAL   (China)

^b FIRST HOSPITAL OF TSINGHUA UNIVERSITY   (China)

Author keywords

Meta analysis; Pneumonia; Prevention; Respiratory care; Ventilator circuit

Indexed keywords

ARTIFICIAL VENTILATION; CLINICAL PRACTICE; CLINICAL TRIAL; CONFIDENCE INTERVAL; DATA BASE; DATA EXTRACTION; EMBASE; EVIDENCE BASED PRACTICE; HOSPITAL INFECTION; HUMAN; INFECTION CONTROL; INFECTION RISK; INFORMATION RETRIEVAL; MEDLINE; META ANALYSIS; OUTCOME ASSESSMENT; PRACTICE GUIDELINE; REVIEW; RISK ASSESSMENT; RISK REDUCTION; SYSTEMATIC REVIEW; VALIDITY; VENTILATOR; VENTILATOR ASSOCIATED PNEUMONIA; ADULT; CLINICAL PROTOCOL; COST BENEFIT ANALYSIS; EQUIPMENT; INSTRUMENTATION; RISK FACTOR; TIME;

ADULT; CLINICAL PROTOCOLS; COST-BENEFIT ANALYSIS; EQUIPMENT CONTAMINATION; HUMANS; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATION, ARTIFICIAL; RISK FACTORS; TIME FACTORS; VENTILATORS, MECHANICAL;

EID: 77954930656     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (29)

1. Craven DE, Connolly MG Jr, Lichtenberg DA, Primeau PJ, McCabe WR. Contamination of mechanical ventilators with tubing changes every 24 or 48 hours. N Engl J Med 1982;306(25):1505-1509.
2. Craven DE, Goularte TA, Make BJ. Contaminated condensate in mechanical ventilator circuits: a risk factor for nosocomial pneumonia? Am Rev Respir Dis 1984;129(4):625-628.
3. Craven DE, Kunches LM, Kilinsky V, Lichtenberg DA, Make BJ, McCabe WR. Risk factors for pneumonia and fatality in patients receiving continuous mechanical ventilation. Am Rev Respir Dis 1986;133(5):792-796.
4. Dreyfuss D, Djedaini K, Weber P, Brun P, Lanore JJ, Rahmani J, et al. Prospective study of nosocomial pneumonia and of patient and circuitcolonization during mechanicalventilation with circuit changes every 48 hours versus no change. Am Rev Respir Dis 1991;143(4 Pt 1):738-743.
5. Tablan OC, Anderson LJ, Arden NH, Breiman RF, Butler JC, McNeil MM; the Hospital Infection Control Practice Advisory Committee, Centers for Disease Control and Prevention. Guideline for prevention of nosocomial pneumonia. Am J Infect Control 1994; 22(4):247-292.
6. Fink JB, Krause SA, Barrett L, Schaaff D, Alex CG. Extending ventilator circuit change interval beyond 2 days reduces the likelihood of ventilator-associated pneumonia. Chest 1998;113(2):405-411.
7. Han JN, Liu YP, Ma S, Zhu YJ, Sui SH, Chen XJ, et al. Effects of decreasing the frequency of ventilator circuit changes to every 7 days on the rate of ventilator-associated pneumonia in a Beijing hospital. Respir Care 2001;46(9):891-896.
8. Hess DR, Kallstrom TJ, Mottram CD, Myers TR, Sorenson HM, Vines DL; American Association for Respiratory Care. Care of the ventilator circuit and its relation to ventilator-associated pneumonia. Respir Care 2003;48(9):869-879.
9. Muscedere J, Dodek P, Keenan S, Fowler R, Cook D, Heyland D; VAP Guidelines Committee and the Canadian Critical Care Trials Group. Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: prevention. J Crit Care 2008; 23(1):126-137.
10. Kaynar AM, Mathew JJ, Hudlin MM, Gingras DJ, Ritz RH, Jackson MR, et al. Attitudes of respiratory therapists and nurses about mea-surestoprevent ventilator-associated pneumonia:amulticenter, cross-sectional survey study. Respir Care 2007;52(12):1687-1694.
11. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986;7(3):177-188.
12. Mosteller F, Colditz GA. Understanding research synthesis (meta-analysis). Annu Rev Public Health 1996;17:1-23.
13. Bates MN, Khalakdina A, Pai M, Chang L, Lessa F, Smith KR. Risk of tuberculosis from exposure to tobacco smoke: a systematic review and meta-analysis. Arch Intern Med 2007;167(4):335-342.
14. Hess D, Burns E, Romagnoli D, Kacmarek RM. Weekly ventilator circuit changes: a strategy to reduce costs without affecting pneumonia rates. Anesthesiology 1995;82(4):903-911.
15. Kollef MH, Shapiro SD, Fraser VJ, Silver P, Murphy DM, Trovillion E, et al. Mechanical ventilation with or without 7-day circuit changes: a randomized controlled trial. Ann Intern Med 1995;123(3):168-174.
16. Long MN, Wickstrom G, Grimes A, Benton CF, Belcher B, Stamm AM. Prospective, randomized study of ventilator-associated pneumonia in patients with one versus three ventilator circuit changes per week. Infect Control Hosp Epidemiol 1996;17(1):14-19.
17. Thompson RE. Incidence of ventilator-associated pneumonia (VAP) with 14-day circuit change in a subacute environment. Respir Care 1996;41(7):601-606.
18. Kotilainen HR, Keroack MA. Cost analysis and clinical impact of weekly ventilator circuit changes in patients in intensive care unit. Am J Infect Control 1997;25(2):117-120.
19. Lien TC, Lin MY, Chu CC, Kuo BI, Wang ED, Wang JH. Ventilator-associated pneumonia with circuit changes every 2 days versus every week. Zhonghua Yi Xue Za Zhi (Taipei) 2001;64(3):161-167.
20. Lorente L, Lecuona M, Galván R, Ramos MJ, Mora ML, Sierra A. Periodically changing ventilator circuits is not necessary to prevent ventilator-associated pneumonia whenaheat-and-moisture exchanger is used. Infect Control Hosp Epidemiol 2004;25(12):1077-1082.
21. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomal infections, 1988. Am J Infect Control 1988; 16(3):128-140.
22. Fagon JY, Chastre J, Hance AJ, Guiguet M, Trouillet JL, Domart Y. Detection of nosocomial lung infection in ventilated patients. Use of a protected specimen brush and quantitative culture techniques in 147 patients. Am Rev Respir Dis 1988;138(1):110-116.
23. Wimberley N, Faling LJ, Bartlett JG. A fiberoptic bronchoscopy technique to obtain uncontaminated lower airway secretions for bacterial culture. Am Rev Respir Dis 1979;119(3):337-343.
24. Chastre J, Viau F, Brun P, Pierre J, Dauge MC, Bouchama A, et al. Prospective evaluation of the protected specimen brush for the diagnosis of pulmonary infections in ventilated patients. Am Rev Re-spir Dis 1984;130(5):924-929.
25. Cook D, Ricard JD, Reeve B, Randall J, Wigg M, Brochard L, et al. Ventilator circuit and secretion management strategies: a Franco-Canadian survey. Crit Care Med 2000;28(10):3547-3554.
26. Ricart M, Lorente C, Diaz E, Kollef MH, Rello J. Nursing adherence with evidence-based guidelines for preventing ventilator-associated pneumonia. Crit Care Med 2003;31(11):2693-2696.
27. Needham DM, Bronskill SE, Sibbald WJ, Pronovost PJ, Laupacis A. Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients. Crit Care Med 2004;32(7):1504-1509.
28. Esteban A, Anzueto A, Frutos F, Alia I, Brochard L, Stewart TE, et al. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002;287(3): 345-355.
29. Seneff MG, Zimmerman JE, Knaus WA, Wagner DP, Draper EA. Predicting the duration of mechanical ventilation: the importance of disease and patient characteristics. Chest 1996;110(2):469-479.