Patient to nurse ratio and risk of ventilator-associated pneumonia in critically ill patients

American Journal of Critical Care

Volumn 20, Issue 1, 2011, Pages

  Blot, Stijn I ^a   Serra, Mireia Llaurado ^c,d   Koulenti, Despoina ^b,e   Lisboa, Thiago ^b   Deja, Maria ^f   Myrianthefs, Pavlos ^g   Manno, Emilpaolo ^h   Diaz, Emili ^b   Topeli, Arzu ⁱ   Martin Loeches, Ignacio ^j   Rello, Jordi ^c,d  

^a GHENT UNIVERSITY HOSPITAL   (Belgium)

^b HOSPITAL UNIVERSITARI JOAN XXIII   (Spain)

^c HOSPITAL UNIVERSITARI VALL D HEBRON   (Spain)

^d UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^e NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS   (Greece)

^f CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^g KAT HOSPITAL   (Greece)

^h MARIA VITTORIA HOSPITAL   (Italy)

ⁱ HACETTEPE UNIVERSITY   (Turkey)

^j MATER MISERICORDIAE UNIVERSITY HOSPITAL   (Ireland)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; COHORT ANALYSIS; CRITICAL ILLNESS; EUROPE; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; MANPOWER; MIDDLE AGED; NURSING STAFF; RISK ASSESSMENT; VENTILATOR ASSOCIATED PNEUMONIA;

ADULT; AGED; COHORT STUDIES; CRITICAL ILLNESS; EUROPE; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NURSING STAFF, HOSPITAL; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATION, ARTIFICIAL; RISK ASSESSMENT;

EID: 78751547499     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2011555     Document Type: Article

References (44)

1. Cook DJ, Walter SD, Cook RJ, et al. Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Ann Intern Med. 1998;129(6):433-440.
2. Myny D, Depuydt P, Colardyn F, Blot S. Ventilator-associated pneumonia in a tertiary care ICU: analysis of risk factors for acquisition and mortality. Acta Clin Belg. 2005;60(3):114-121.
3. Safdar N, Dezfulian C, Collard HR, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med. 2005;33(10):2184-2193.
4. Papazian L, Bregeon F, Thirion X, et al. Effect of ventilator-associated pneumonia on mortality and morbidity. Am J Respir Crit Care Med. 1996;154(1):91-97.
5. Rello J, Ollendorf DA, Oster G, et al; VAP Outcomes Scientific Advisory Group. Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest. 2002;122(6):2115-2121.
6. Warren DK, Shukla SJ, Olsen MA, et al. Outcome and attributable cost of ventilator-associated pneumonia among intensive care unit patients in a suburban medical center. Crit Care Med. 2003;31(5):1312-1317.
7. Chastre J, Fagon JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med. 2002;165(7):867-903.
8. Agbaht K, Diaz E, Muñoz E, et al. Bacteremia in patients with ventilator-associated pneumonia is associated with increased mortality: a study comparing bacteremic vs non-bacteremic ventilator-associated pneumonia. Crit Care Med. 2007;35(9):2064-2070.
9. Blot S. Limiting the attributable mortality of nosocomial infection and multidrug resistance in intensive care units. Clin Microbiol Infect. 2008;14(1):5-13.
10. Blot S, Depuydt P, Vandewoude K, De Bacquer D. Measuring the impact of multidrug resistance in nosocomial infection. Curr Opin Infect Dis. 2007;20(4):391-396.
11. Depuydt P, Benoit D, Vogelaers D, et al. Systematic surveillance cultures as a tool to predict involvement of multidrug antibiotic resistant bacteria in ventilator-associated pneumonia. Intensive Care Med. 2008;34(4):675-682.
12. Depuydt PO, Vandijck DM, Bekaert MA, et al. Determinants and impact of multidrug antibiotic resistance in pathogens causing ventilator-associated-pneumonia. Crit Care. 2008; 12(6):R142. http://ccforum.com/content/pdf/cc7119.pdf. Accessed October 9, 2010.
13. Rello J, Sole-Violan J, Sa-Borges M, et al. Pneumonia caused by oxacillin-resistant Staphylococcus aureus treated with glycopeptides. Crit Care Med. 2005;33(9):1983-1987.
14. Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. JAMA. 2006;295(3):324-327.
15. Lorente L, Blot S, Rello J. Evidence on measures for the prevention of ventilator-associated pneumonia. Eur Respir J. 2007;30(6):1193-1207.
16. Bloos F, Müller S, Harz A, et al. Effects of staff training on the care of mechanically ventilated patients: a prospective cohort study. Br J Anaesth. 2009;103(2):232-237.
17. Marra AR, Cal RG, Silva CV, et al. Successful prevention of ventilator-associated pneumonia in an intensive care setting. Am J Infect Control. 2009;37(8):619-625.
18. O'Keefe-McCarthy S, Santiago C, Lau G. Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews Evid Based Nurs. 2008;5(4):193-204.
19. Zilberberg MD, Shorr AF, Kollef MH. Implementing quality improvements in the intensive care unit: ventilator bundle as an example. Crit Care Med. 2009;37(1):305-309.
20. Blot SI, Labeau S, Vandijck D, Van Aken P, Claes B; Executive Board of the Flemish Society for Critical Care Nurses. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among intensive care nurses. Intensive Care Med. 2007;33(8): 1463-1467.
21. El-Khatib M F, Zeineldine S, Ayoub C, Husari A, Bou-Khalil PK. Critical care clinicians' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia. Am J Crit Care. 2010;19(3):272-276.
22. Lorente L, Blot S, Rello J. New issues and controversies in the prevention of ventilator-associated pneumonia. Am J Respir Crit Care Med. 2010;182(7):870-876.
23. Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: cross-national findings. Int J Qual Health Care. 2002;14(1):5-13.
24. Clarke SP, Sloane DM, Aiken LH. Effects of hospital staffing and organizational climate on needlestick injuries to nurses. Am J Public Health. 2002;92(7):1115-1119.
25. Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814.
26. De Wandel D, Maes L, Labeau S, Vereecken C, Blot S. Behavioral determinants of hand hygiene compliance in intensive care units. Am J Crit Care. 2010;19(3):230-239.
27. Koulenti D, Lisboa T, Brun-Buisson C, et al; EU-VAP/CAP study group. Spectrum of practice in the diagnosis of nosocomial pneumonia in patients requiring mechanical ventilation in European intensive care units. Crit Care Med. 2009;37(8):2360-2368.
28. American Thoracic Society; Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005; 171(4):388-416.
29. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270(24):2957-2963.
30. Hugonnet S, Uçkay I, Pittet D. Staffing level: a determinant of late-onset ventilator-associated pneumonia. Crit Care. 2007;11(4):R80. http://ccforum.com/content/pdf/cc5974.pdf. Accessed October 9, 2010.
31. Lang TA, Hodge M, Olson V, Romano PS, Kravitz RL. Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. J Nurs Adm. 2004;34(7-8):326-337.
32. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-1722.
33. Kovner C, Gergen PJ. Nurse staffing levels and adverse events following surgery in US hospitals. Image J Nurs Sch. 1998;30(4):315-321.
34. Lichtig LK, Knauf RA, Milholland DK. Some impacts of nursing on acute care hospital outcomes. J Nurs Adm. 1999;29(2):25-33.
35. Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med. 2000;26(12):1857-1862.
36. Cho SH, Ketefian S, Barkauskas VH, Smith DG. The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res. 2003;52(2):71-79.
37. Kovner C, Jones C, Zhan C, Gergen PJ, Basu J. Nurse staffing and postsurgical adverse events: an analysis of administrative data from a sample of US hospitals, 1990-1996. Health Serv Res. 2002;37(3):611-629.
38. Unruh L. Licensed nurse staffing and adverse events in hospitals. Med Care. 2003;41(1):142-152.
39. Cho SH, Hwang JH, Kim J. Nurse staffing and patient mortality in intensive care units. Nurs Res. 2008;57(5):322-330.
40. Hyllienmark P, Gårdlund B, Persson JO, Ekdahl K. Nosoco-mial pneumonia in the ICU: a prospective cohort study. Scand J Infect Dis. 2007;39(8):676-682.
41. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342(20):1471-1477.
42. Labeau S, Vandijck D, Rello J, et al. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nurses. J Hosp Infect. 2008;70(2):180-185.
43. Labeau S, Vandijck DM, Claes B, et al. Critical care nurses' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia: an evaluation questionnaire. Am J Crit Care. 2007;16(4):371-377.
44. 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.