Objective: The current study investigated the applicability of the VAP prevention bundle and its effect on rates of VAP. Methods: This study was performed in the intensive care units (ICU) of anesthesia (AICU) and the neurology (NICU) in the Medical Faculty of Ondokuz Mayis University from October 2011 to September 2012 (for one year). Mechanically ventilated patients in the ICU for 48 hours were included. The bundle components were patient’s head elevated to 30–45°, assessment of daily extubation status (weaning), peptic ulcer prophylaxis, deep vein thrombosis (DVT) prophylaxis, and oral care with chlorhexidine. The VAP rate and ventilator usage rates were calculated and compared in quarterly periods for one year. Results: In the study, 35 patients developed VAP. There was full compliance with the prevention bundle in 30.5% of cases. No VAP developed in 51 patients whose compliance with the prevention bundle was 100%. In patients (n=35) whose compliance with prevention bundle was more than 50%, VAP (n=6) developed in 19% of the patients. But, in patients (n=35) whose compliance with prevention bundle was less than 50%, VAP (n=29) developed in 82.8% of the patients. There was a significant relationship between compliance with the prevention bundle and development of VAP (P<0.05). Conclusion: VAP rates reduced by the end of the one-year. To reach a zero infection target, ensuring and maintaining full compliance with all components of the prevention bundle are essential.
| Published in | Journal of Family Medicine and Health Care (Volume 1, Issue 2) |
| DOI | 10.11648/j.jfmhc.20150102.13 |
| Page(s) | 27-32 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Ventilator-Associated Pneumonia, Prevention Bundle, Intensive Care Units, VAP Rate
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APA Style
Ilknur Esen Yildiz, Hava Yilmaz, Ahmet Dilek, Saban Esen, Mustafa Sunbul, et al. (2015). Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units. Journal of Family Medicine and Health Care, 1(2), 27-32. https://doi.org/10.11648/j.jfmhc.20150102.13
ACS Style
Ilknur Esen Yildiz; Hava Yilmaz; Ahmet Dilek; Saban Esen; Mustafa Sunbul, et al. Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units. J. Fam. Med. Health Care 2015, 1(2), 27-32. doi: 10.11648/j.jfmhc.20150102.13
AMA Style
Ilknur Esen Yildiz, Hava Yilmaz, Ahmet Dilek, Saban Esen, Mustafa Sunbul, et al. Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units. J Fam Med Health Care. 2015;1(2):27-32. doi: 10.11648/j.jfmhc.20150102.13
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Download@article{10.11648/j.jfmhc.20150102.13,
author = {Ilknur Esen Yildiz and Hava Yilmaz and Ahmet Dilek and Saban Esen and Mustafa Sunbul and Hakan Leblebicioglu},
title = {Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units},
journal = {Journal of Family Medicine and Health Care},
volume = {1},
number = {2},
pages = {27-32},
doi = {10.11648/j.jfmhc.20150102.13},
url = {https://doi.org/10.11648/j.jfmhc.20150102.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20150102.13},
abstract = {Objective: The current study investigated the applicability of the VAP prevention bundle and its effect on rates of VAP. Methods: This study was performed in the intensive care units (ICU) of anesthesia (AICU) and the neurology (NICU) in the Medical Faculty of Ondokuz Mayis University from October 2011 to September 2012 (for one year). Mechanically ventilated patients in the ICU for 48 hours were included. The bundle components were patient’s head elevated to 30–45°, assessment of daily extubation status (weaning), peptic ulcer prophylaxis, deep vein thrombosis (DVT) prophylaxis, and oral care with chlorhexidine. The VAP rate and ventilator usage rates were calculated and compared in quarterly periods for one year. Results: In the study, 35 patients developed VAP. There was full compliance with the prevention bundle in 30.5% of cases. No VAP developed in 51 patients whose compliance with the prevention bundle was 100%. In patients (n=35) whose compliance with prevention bundle was more than 50%, VAP (n=6) developed in 19% of the patients. But, in patients (n=35) whose compliance with prevention bundle was less than 50%, VAP (n=29) developed in 82.8% of the patients. There was a significant relationship between compliance with the prevention bundle and development of VAP (P<0.05). Conclusion: VAP rates reduced by the end of the one-year. To reach a zero infection target, ensuring and maintaining full compliance with all components of the prevention bundle are essential.},
year = {2015}
}
TY - JOUR T1 - Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units AU - Ilknur Esen Yildiz AU - Hava Yilmaz AU - Ahmet Dilek AU - Saban Esen AU - Mustafa Sunbul AU - Hakan Leblebicioglu Y1 - 2015/09/02 PY - 2015 N1 - https://doi.org/10.11648/j.jfmhc.20150102.13 DO - 10.11648/j.jfmhc.20150102.13 T2 - Journal of Family Medicine and Health Care JF - Journal of Family Medicine and Health Care JO - Journal of Family Medicine and Health Care SP - 27 EP - 32 PB - Science Publishing Group SN - 2469-8342 UR - https://doi.org/10.11648/j.jfmhc.20150102.13 AB - Objective: The current study investigated the applicability of the VAP prevention bundle and its effect on rates of VAP. Methods: This study was performed in the intensive care units (ICU) of anesthesia (AICU) and the neurology (NICU) in the Medical Faculty of Ondokuz Mayis University from October 2011 to September 2012 (for one year). Mechanically ventilated patients in the ICU for 48 hours were included. The bundle components were patient’s head elevated to 30–45°, assessment of daily extubation status (weaning), peptic ulcer prophylaxis, deep vein thrombosis (DVT) prophylaxis, and oral care with chlorhexidine. The VAP rate and ventilator usage rates were calculated and compared in quarterly periods for one year. Results: In the study, 35 patients developed VAP. There was full compliance with the prevention bundle in 30.5% of cases. No VAP developed in 51 patients whose compliance with the prevention bundle was 100%. In patients (n=35) whose compliance with prevention bundle was more than 50%, VAP (n=6) developed in 19% of the patients. But, in patients (n=35) whose compliance with prevention bundle was less than 50%, VAP (n=29) developed in 82.8% of the patients. There was a significant relationship between compliance with the prevention bundle and development of VAP (P<0.05). Conclusion: VAP rates reduced by the end of the one-year. To reach a zero infection target, ensuring and maintaining full compliance with all components of the prevention bundle are essential. VL - 1 IS - 2 ER -
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