Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan

Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Wen-Ping Zeng [verfasserIn] Han Su [verfasserIn] Chein-Wen Chen [verfasserIn] Shu-Meng Cheng [verfasserIn] Li-Fang Chang [verfasserIn] Wen-Chii Tzeng [verfasserIn] Bing-Hsiean Tzeng [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Ventilator-associated pneumonia care bundle medical intensive care unit

Übergeordnetes Werk:	In: Journal of Medical Sciences - Wolters Kluwer Medknow Publications, 2017, 35(2015), 2, Seite 68-73
Übergeordnetes Werk:	volume:35 ; year:2015 ; number:2 ; pages:68-73

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.4103/1011-4564.156013

Katalog-ID:	DOAJ073179396

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520			\|a Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs.
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allfields	10.4103/1011-4564.156013 doi (DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424 DE-627 ger DE-627 rakwb eng RC86-88.9 Wen-Ping Zeng verfasserin aut Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid Han Su verfasserin aut Chein-Wen Chen verfasserin aut Shu-Meng Cheng verfasserin aut Li-Fang Chang verfasserin aut Wen-Chii Tzeng verfasserin aut Bing-Hsiean Tzeng verfasserin aut In Journal of Medical Sciences Wolters Kluwer Medknow Publications, 2017 35(2015), 2, Seite 68-73 (DE-627)1042175632 25424939 nnns volume:35 year:2015 number:2 pages:68-73 https://doi.org/10.4103/1011-4564.156013 kostenfrei https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 kostenfrei http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng kostenfrei https://doaj.org/toc/1011-4564 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 35 2015 2 68-73
spelling	10.4103/1011-4564.156013 doi (DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424 DE-627 ger DE-627 rakwb eng RC86-88.9 Wen-Ping Zeng verfasserin aut Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid Han Su verfasserin aut Chein-Wen Chen verfasserin aut Shu-Meng Cheng verfasserin aut Li-Fang Chang verfasserin aut Wen-Chii Tzeng verfasserin aut Bing-Hsiean Tzeng verfasserin aut In Journal of Medical Sciences Wolters Kluwer Medknow Publications, 2017 35(2015), 2, Seite 68-73 (DE-627)1042175632 25424939 nnns volume:35 year:2015 number:2 pages:68-73 https://doi.org/10.4103/1011-4564.156013 kostenfrei https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 kostenfrei http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng kostenfrei https://doaj.org/toc/1011-4564 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 35 2015 2 68-73
allfields_unstemmed	10.4103/1011-4564.156013 doi (DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424 DE-627 ger DE-627 rakwb eng RC86-88.9 Wen-Ping Zeng verfasserin aut Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid Han Su verfasserin aut Chein-Wen Chen verfasserin aut Shu-Meng Cheng verfasserin aut Li-Fang Chang verfasserin aut Wen-Chii Tzeng verfasserin aut Bing-Hsiean Tzeng verfasserin aut In Journal of Medical Sciences Wolters Kluwer Medknow Publications, 2017 35(2015), 2, Seite 68-73 (DE-627)1042175632 25424939 nnns volume:35 year:2015 number:2 pages:68-73 https://doi.org/10.4103/1011-4564.156013 kostenfrei https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 kostenfrei http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng kostenfrei https://doaj.org/toc/1011-4564 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 35 2015 2 68-73
allfieldsGer	10.4103/1011-4564.156013 doi (DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424 DE-627 ger DE-627 rakwb eng RC86-88.9 Wen-Ping Zeng verfasserin aut Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid Han Su verfasserin aut Chein-Wen Chen verfasserin aut Shu-Meng Cheng verfasserin aut Li-Fang Chang verfasserin aut Wen-Chii Tzeng verfasserin aut Bing-Hsiean Tzeng verfasserin aut In Journal of Medical Sciences Wolters Kluwer Medknow Publications, 2017 35(2015), 2, Seite 68-73 (DE-627)1042175632 25424939 nnns volume:35 year:2015 number:2 pages:68-73 https://doi.org/10.4103/1011-4564.156013 kostenfrei https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 kostenfrei http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng kostenfrei https://doaj.org/toc/1011-4564 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 35 2015 2 68-73
allfieldsSound	10.4103/1011-4564.156013 doi (DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424 DE-627 ger DE-627 rakwb eng RC86-88.9 Wen-Ping Zeng verfasserin aut Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs. Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid Han Su verfasserin aut Chein-Wen Chen verfasserin aut Shu-Meng Cheng verfasserin aut Li-Fang Chang verfasserin aut Wen-Chii Tzeng verfasserin aut Bing-Hsiean Tzeng verfasserin aut In Journal of Medical Sciences Wolters Kluwer Medknow Publications, 2017 35(2015), 2, Seite 68-73 (DE-627)1042175632 25424939 nnns volume:35 year:2015 number:2 pages:68-73 https://doi.org/10.4103/1011-4564.156013 kostenfrei https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 kostenfrei http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng kostenfrei https://doaj.org/toc/1011-4564 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 35 2015 2 68-73
language	English
source	In Journal of Medical Sciences 35(2015), 2, Seite 68-73 volume:35 year:2015 number:2 pages:68-73
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topic_facet	Ventilator-associated pneumonia care bundle medical intensive care unit Medicine R Medical emergencies. Critical care. Intensive care. First aid
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authorswithroles_txt_mv	Wen-Ping Zeng @@aut@@ Han Su @@aut@@ Chein-Wen Chen @@aut@@ Shu-Meng Cheng @@aut@@ Li-Fang Chang @@aut@@ Wen-Chii Tzeng @@aut@@ Bing-Hsiean Tzeng @@aut@@
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topic_title	RC86-88.9 Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan Ventilator-associated pneumonia care bundle medical intensive care unit
topic	misc RC86-88.9 misc Ventilator-associated pneumonia misc care bundle misc medical intensive care unit misc Medicine misc R misc Medical emergencies. Critical care. Intensive care. First aid
topic_unstemmed	misc RC86-88.9 misc Ventilator-associated pneumonia misc care bundle misc medical intensive care unit misc Medicine misc R misc Medical emergencies. Critical care. Intensive care. First aid
topic_browse	misc RC86-88.9 misc Ventilator-associated pneumonia misc care bundle misc medical intensive care unit misc Medicine misc R misc Medical emergencies. Critical care. Intensive care. First aid
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title	Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan
ctrlnum	(DE-627)DOAJ073179396 (DE-599)DOAJ3cbb8e136fb6461d938d3c8e3fde8424
title_full	Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan
author_sort	Wen-Ping Zeng
journal	Journal of Medical Sciences
journalStr	Journal of Medical Sciences
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lang_code	eng
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author_browse	Wen-Ping Zeng Han Su Chein-Wen Chen Shu-Meng Cheng Li-Fang Chang Wen-Chii Tzeng Bing-Hsiean Tzeng
container_volume	35
class	RC86-88.9
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author-letter	Wen-Ping Zeng
doi_str_mv	10.4103/1011-4564.156013
author2-role	verfasserin
title_sort	care bundle for ventilator-associated pneumonia in a medical intensive care unit in northern taiwan
callnumber	RC86-88.9
title_auth	Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan
abstract	Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs.
abstractGer	Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs.
abstract_unstemmed	Background: Ventilator-associated pneumonia (VAP) occurs in patients requiring mechanical ventilators for more than 48 h. VAP is the most common nosocomial infection and the leading cause of complications and death in intensive care units (ICUs). Materials and Methods: Two historical comparison groups of 375 patients who used mechanical ventilators for more than 48 h in the medical ICU (MICU) from December 1, 2011 to May 31, 2012 and December 1, 2013 to May 31, 2014 were enrolled in this study. There were 194 adult patients in the control group that received traditional care, and there were 181 patients in the experimental VAP care bundle group. Our VAP care bundle entailed several preventive strategies including daily assessments of sedation, daily consideration of weaning and extubation by the doctors and respiratory therapists charged with the care of the patients, maintenance of the intra-cuff pressure values at approximately 20-30 cm H 2 O, hand hygiene, daily oral hygiene, personal protective equipment for suctioning, the placement of patients in semi-recumbent positions with the head of the bed elevated to at least 30°, aspiration of an endotracheal tube and oral cavity prior to position changes, daily cleaning of the ventilator and suction bottle with sterile distilled water, weekly replacement of the ventilator circuit and heater, sterilization of the circuit by pasteurization, and the use of an independent care room. The data were collected by reviewing the patients′ medical records and by retrieving information from the Nosocomial Infection Control Unit of one medical center in Northern Taiwan. Results: The incidence of VAP in the VAP care bundle group (0.281 cases per 1000 ventilator days) was significantly lower than that in the control group (0.495 cases per 1000 ventilator days). We estimated that the occurrence of VAP in the MICU increased the medical costs by an average of NT $68317 per patient. Conclusions: VAP care bundle is an effective strategy to reduce the incidence of VAP in the MICU and to reduce healthcare costs.
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title_short	Care bundle for ventilator-associated pneumonia in a medical intensive care unit in Northern Taiwan
url	https://doi.org/10.4103/1011-4564.156013 https://doaj.org/article/3cbb8e136fb6461d938d3c8e3fde8424 http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=2;spage=68;epage=73;aulast=Zeng https://doaj.org/toc/1011-4564
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author2	Han Su Chein-Wen Chen Shu-Meng Cheng Li-Fang Chang Wen-Chii Tzeng Bing-Hsiean Tzeng
author2Str	Han Su Chein-Wen Chen Shu-Meng Cheng Li-Fang Chang Wen-Chii Tzeng Bing-Hsiean Tzeng
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up_date	2024-07-03T16:17:05.866Z
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