Combination of ventilator care bundle and regular oral care with chlorhexidine was associated with reduction in ventilator associated pneumonia

Egyptian Journal of Anaesthesia

Volumn 29, Issue 3, 2013, Pages 273-277

  Azab, Samia Ragab El ^a,b   Sayed, Abeer Ezzat El ^c   Abdelkarim, Mutaz ^d   Al Mutairi, Khalid Bander ^a   Saqabi, Abduallah Al ^a   Demerdash, Said El ^a  

^a KING FAHAD SPECIALIST HOSPITAL   (Saudi Arabia)

^b AL AZHAR UNIVERSITY   (Egypt)

^c SUEZ CANAL UNIVERSITY   (Egypt)

^d Ayoun Aljawa Hospital   (Saudi Arabia)

Author keywords

ICU project; VAP in ICU; Ventilator associated pneumonia; Ventilator bundle

Indexed keywords

CHLORHEXIDINE;

ADULT; ANTIBIOTIC SENSITIVITY; APACHE; ARTICLE; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; FEMALE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; MOUTH HYGIENE; OUTCOME ASSESSMENT; PEPTIC ULCER; SEDATION; TOTAL QUALITY MANAGEMENT; TRACHEAL ASPIRATION PROCEDURE; VENTILATED PATIENT; VENTILATOR; VENTILATOR ASSOCIATED PNEUMONIA;

EID: 84879324152     PISSN: 11101849     EISSN: 16871804     Source Type: Journal    
DOI: 10.1016/j.egja.2013.03.001     Document Type: Article

References (24)

1. R.M. Klevens, J.R. Edwards, and C.L. Richards Jr. Estimating healthcare associated infections and deaths in US hospitals Public Health Rep 122 2 2007 160 166
2. Ventilator-Associated Pneumonia (VAP) Event. < http://www.cdc.gov/ nhsn/PDFs/pscManual/6pscVAPcurrent.pdf >.
3. L. Keeley Reducing the risk of ventilator-acquired pneumonia through head of bed elevation Nurs Crit Care 12 6 2007 287 294
4. N.P. O'Grady, P.R. Murray, and N. Ames Preventing ventilator-associated pneumonia: does the evidence support the practice JAMA 307 23 2012 2534 2539
5. A. Coppadoro, E. Bittner, and L. Berra Novel preventive strategies for ventilator associated pneumonia Crit Care 16 210 2012 1 6
6. S. O'keefe-McCarthy, C. Santiago, and G. Lau Ventilar-associated pneumonia bundle strategies: an evidence-based practice Worldviews Evid base Nurs. 5 4 2008 193 204
7. D.M. Berwick, D.R. Calkins, C.J. McCannon, and A.D. Hackbarth The 100,000 lives campaign: setting a goal and a deadline for improving health care quality J Am Med Assoc 295 3 2006 324 327
8. J.R.W. Govan Pseudomonus, stenotrophomonus maltophilia, burkholderia JG. Collee, A.G. Fraser, B.P. Marmion, A. Simmons, Mackie & McCartney Practical Medical Microbiology. Tests for Identification of Bacteria. Stenotrophomonus Maltophilia 4th ed. 1996 Churchill Livingstone New York 413 424
9. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial susceptibility testing. Twenty informational supplement; 2010. [(1), USA, M100-S21].
10. The Scottish Intensive Care Society Audit Group. VAP prevention bundle - guidance for implementation. < http://www.sicsag.scot.nhs.uk/SubGroup/VAP- Prevention-Bundle-Guidance-For-Implementation1.pdf >.
11. J. Muscedere Comprehensive evidence-based clinical practice guidelines for ventilator associated pneumonia: prevention J Crit Care 23 2008 126 137
12. Guidelines for the management of adults with hospital-acquired, ventilator-acquired and healthcare-associated pneumonia. Am J Res Crit Care Med 2005; 171: 388-416.
13. Hawe Reduction of ventilator-associated pneumonia: active versus passive guideline implementation Inten Care Med 35 2007 1180 1186
14. A.R. Marra Successful prevention of ventilator-associated pneumonia in an intensive care setting Am J Infect Control 37 2009 619 625
15. H. Tantipong Randomised controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia Infect Control Hosp Epidemiol 29 2008 131 136
16. M. Scott, and S. Keene What is the role of the allied health professional in preventing ventilator acquired pneumonia? Int J Infec Diseases 7 1 2009 10.5580/27e7
17. O'keefe-McCarthy S, Santiago C, Lau G. Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews on Evidence-Based Nursing 2008; 5(4): 193-204, http://dx.doi.org/10.1111/j.1741-6787.2008.00140.x.
18. T.J. Papadimos, S.J. Hensley, J.M. Duggan, S.A. Khuder, M.J. Borst, J.J. Fath, L.R. Oakes, and D. Buchman Implementation of the "FASTHUG" concept decreases the incidence of ventilator-associated pneumonia in a surgical intensive care unit Patient Saf Surg 2 2008 3 10.1186/1754-9493-2-
19. C. Wip, and L. Napolitano Bundles to prevent ventilator-associated pneumonia: how valuable are they? Curr Opin Infect Dis 22 2 2009 159 166
20. A.F. Tolentino-DelosReyes, S.D. Ruppert, and S.Y.P. Shiao Evidence-based practice: use of the ventilator bundle to prevent ventilator-associated pneumonia Am J Crit Care 16 2007 20 27
21. K.A. Davis Ventilator-associated pneumonia: a review J Inten Care Med 21 2006 211 226
22. M. Koeman, AJ. van der Ven, E. Hak, HC. Joore, K. Kaasjager, and AG. de Smet Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia Am J Res Crit Care Med 173 2006 1348 1355
23. H. Tantipong, C. Morkchareonpong, S. Jaiyindee, and V. Thamlikitkul Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia Infect Control Hosp Epidemiol 29 2 2008 131 136
24. JA. Shinn Decreasing the risk of ventilator-associated pneumonia: the impact of nursing care Prog Cardiovasc Nurs 2004 123 124