Effect of a ventilator-focused intervention on the rate of Acinetobacter baumannii infection among ventilated patients

American Journal of Infection Control

Volumn 42, Issue 9, 2014, Pages 996-1001

  Cohen, Regev ^a,b   Shimoni, Zvi ^a,b   Ghara, Riad ^a   Ram, Ron ^c,d   Ben Ami, Ronen ^c,d  

^a LANIADO HOSPITAL   (Israel)

^b TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^c TEL AVIV SOURASKY MEDICAL CENTER   (Israel)

^d TEL AVIV UNIVERSITY   (Israel)

Author keywords

Bacterial filter; Respirator equipment care; Ventilator associated pneumonia

Indexed keywords

COLISTIN; SULBACTAM;

ACINETOBACTER BAUMANNII; ACINETOBACTER INFECTION; ADULT; ARTICLE; ARTIFICIAL VENTILATION; BACTERIAL COLONIZATION; BREATHING CIRCUIT BACTERIAL FILTER; COMMUNITY ACQUIRED PNEUMONIA; EVIDENCE BASED PRACTICE; FEMALE; HEALTH CARE POLICY; HEALTHCARE ASSOCIATED INFECTION; HUMAN; INCIDENCE; INFECTION CONTROL; INFECTION RATE; INFECTION RISK; INSTRUMENT STERILIZATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MECHANICAL VENTILATOR; MEDICAL DEVICE CONTAMINATION; OUTCOME ASSESSMENT; PSEUDOMONAS AERUGINOSA; RISK REDUCTION; SPUTUM CULTURE; STANDARD; STENOTROPHOMONAS MALTOPHILIA; TRACHEOSTOMY; VENTILATED PATIENT; VENTILATOR ASSOCIATED PNEUMONIA; ACINETOBACTER INFECTIONS; ADVERSE EFFECTS; AGED; DEVICES; INTENSIVE CARE UNIT; ISOLATION AND PURIFICATION; MICROBIOLOGY; PNEUMONIA, VENTILATOR-ASSOCIATED; PROCEDURES; BACTERIAL INFECTION; VENTILATOR;

ACINETOBACTER BAUMANNII; ACINETOBACTER INFECTIONS; AGED; EQUIPMENT CONTAMINATION; FEMALE; HUMANS; INFECTION CONTROL; INTENSIVE CARE UNITS; MALE; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATION, ARTIFICIAL; VENTILATORS, MECHANICAL;

EID: 84906830893     PISSN: 01966553     EISSN: 15273296     Source Type: Journal    
DOI: 10.1016/j.ajic.2014.06.002     Document Type: Article

References (15)

1. A. Abbo, Y. Carmeli, S. Navon-Venezia, Y. Siegman-Igra, and M.J. Schwaber Impact of multi-drug-resistant Acinetobacter baumannii on clinical outcomes Eur J Clin Microbiol Infect Dis 26 2007 793 800
2. J.Y. Fagon, J. Chastre, Y. Domart, J.L. Trouillet, and C. Gibert Mortality due to ventilator-associated pneumonia or colonization with Pseudomonas or Acinetobacter species: assessment by quantitative culture of samples obtained by a protected specimen brush Clin Infect Dis 23 1996 538 542
3. J.Y. Fagon, J. Chastre, A.J. Hance, P. Montravers, A. Novara, and C. Gibert Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay Am J Med 94 1993 281 288
4. S. Navon-Venezia, R. Ben-Ami, and Y. Carmeli Update on Pseudomonas aeruginosa and Acinetobacter baumannii infections in the healthcare setting Curr Opin Infect Dis 18 2005 306 313
5. N.M. Joseph, S. Sistla, T.K. Dutta, A.S. Badhe, and S.C. Parija Ventilator-associated pneumonia: role of colonizers and value of routine endotracheal aspirate cultures Int J Infect Dis 14 2010 e723 e729
6. M.V. Villegas, and A.I. Hartstein Acinetobacter outbreaks, 1977-2000 Infect Control Hosp Epidemiol 24 2003 284 295
7. J. Chastre, and J.Y. Fagon Ventilator-associated pneumonia Am J Respir Crit Care Med 165 2002 867 903
8. A.T. Bernards, H.I. Harinck, L. Dijkshoorn, T.J. van der Reijden, and P.J. van den Broek Persistent Acinetobacter baumannii? Look inside your medical equipment Infect Control Hosp Epidemiol 25 2004 1002 1004
9. C.M. Vandenbroucke-Grauls, A.J. Kerver, J.H. Rommes, R. Jansen, C. den Dekker, and J. Verhoef Endemic Acinetobacter anitratus in a surgical intensive care unit: mechanical ventilators as reservoir Eur J Clin Microbiol Infect Dis 7 1988 485 489
10. S.E. Coffin, M. Klompas, D. Classen, K.M. Arias, K. Podgorny, and D.J. Anderson et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals Infect Control Hosp Epidemiol 29 Suppl 1 2008 S31 S40
11. O.C. Tablan, L.J. Anderson, R. Besser, C. Bridges, R. Hajjeh, and CDC et al. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee MMWR Recomm Rep 53 RR-3 2004 1 36
12. J. Han, and Y. Liu Effect of ventilator circuit changes on ventilator-associated pneumonia: a systematic review and meta-analysis Respir Care 55 2010 467 474
13. D. Dreyfuss, K. Djedaini, P. Weber, P. Brun, J.J. Lanore, and J. Rahmani et al. Prospective study of nosocomial pneumonia and of patient and circuit colonization during mechanical ventilation with circuit changes every 48 hours versus no change Am Rev Respir Dis 143 4 Pt 1 1991 738 743
14. M.H. Kollef, S.D. Shapiro, V.J. Fraser, P. Silver, D.M. Murphy, and E. Trovillion et al. Mechanical ventilation with or without 7-day circuit changes. A randomized controlled trial Ann Intern Med 123 1995 168 174
15. L. Lorente, M. Lecuona, R. Galván, M.J. Ramos, M.L. Mora, and A. Sierra Periodically changing ventilator circuits is not necessary to prevent ventilator-associated pneumonia when a heat and moisture exchanger is used Infect Control Hosp Epidemiol 25 2004 1077 1082