Compliance and Association of Ventilator Associated Pneumonia Bundle Strategy With Ventilator Associated Pneumonia rate: A Saudi Experience

Authors

  • Mohammad Garout

Keywords:

Ventilator Associated Pneumonia, Compliance, Infection, VAP care bundle, Saudi Arabia

Abstract

Objectives: To evaluate the effectiveness and compliance of Ventilator Associated Pneumonia(VAP) care bundle in local setting at Erfan & Bagedo General hospital, Jeddah, KSA.

Materials and Methods: The study was a Quasi experimental before and after observation type of study, in which VAP care bundle was implemented to the ventilated patients without any control group. It was conducted from February 2010 to January 2011.

Results: Out of a total of 3011 patient ventilator days, 18 patient developed VAP. Number of VAP care bundle implementation increased from 42 (17.36%) in February 2010 to 315 (91.8%) in October 2010. However the implementation rate was 100% during November, December 2010 and January 2011. VAP rate dropped from 8.85/1000 ventilator days in February 2010 to 3.15 in January 2011.

Conclusion: There was a strong negative correlation between proportion of implementation of VAP care bundle and VAP rate (r= - 0.534 p value=0.037 for one tailed test). Adopting VAP care bundle approach may help in reducing the morbidity and mortality in the ventilated patients.

References

Ruffel A, Adamcova A. Ventilator-associated pneumonia: prevention is better than cure. Nursing in critical care 2008; 13(1):44-53.

Allan JW, Christine CR, Carol AS, Nicholas NR, Martin JB. Epidemiology of Venticular-Associated Pneumonia in a long term acute care hospital. Infection control and hospital epidemiology 2009;30(4):319-24.

Zack J, Garrison T, Trovillion E, Clinkscale D, Coopersmith C, Fraser V et al.Effect of an education program aimed at reducing the occurrence of ventilator associated pneumonia. Critical Care Medicine 2002; 30: 2407-12

Centers for Disease Control and Prevention (CDC). Guidelines for the Prevention of Nosocomial Pneumonia. MMWR Recomm Rep 1997; 46(RR-1):1-79.

Safdar N, Dezfulian C, Collard HR. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005; 33:2184-93.

Bercault N, Boulain T. Mortality rate attributable to ventilator associated nosocomial pneumonia in an adult intensive care unit: a prospective case-control study. Crit Care Med 2001;29: 2303-9.

Leroy O, Sanders V, Girardie P, Devos P, Yazdanpanah Y, Georges H, et al. Mortality due to ventilator-associated pneumonia: impact of medical versus surgical ICU admittance status. J Crit Care 2001; 16: 90-7.

Sheng WH, Wang JT, Lu DC, Chie WC, Chen YC, Chang SC. Comparative impact of hospital-acquired infections on medical costs, length of hospital stay and outcome between community hospitals and medical centres. J Hosp Infect 2005;59: 205-14.

Samantha W. Implementing a ventilator care bundle in an adult intensive care unit. Nursing in critical care 2008; 13(4):203-7.

Chulay M. VAP prevention: The latest guidelines.RN 2005;68(3): 52-7.

Pruitt B, Jacobs M. Best practice interventions: How can you prevent ventilator-associated pneumonia? Nursing 2006, 36(2), 36-42.

Grap MJ, Munro CL. Ventilator-associated pneumonia: Clinical significance and implications for nursing. Heart and Lung: The Journal of Acute and Critical Care 1997; 26:419-29.

Tablan AC, Anderson LJ, Besser R, Bridges C, Hajjeh R. Guidelines for preventing healthcare-associated pneumonia, 2003: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. Morbidity and Mortality Weekly Report. 2004, 53 (No. RR-3):1-36. Available at www.cdc.gov/mmwr/PDF/RR/RR5303.pdf (accessed 28 February 2012).

Dodek P, Keenan S, Cook D, Heyland D. Evidence based clinical practice guideline for the prevention of ventilator-associated pneumonia. Annals of Internal Medicine 2004;141:305-13.

Fulbrook P, Mooney S. Care bundles in critical care: a practical approach to evidence-based practice. Nursing in Critical Care 2003;8:249-55.

Sinuff T, Muscedere J, Cook D, Dodek P, Heyland D; Canadian Critical Care Trials Group. Ventilator-associated pneumonia: improving outcomes through guideline implementation . J Crit Care . 2008;23(1):118-25.

Rello J, Lode H, Cornaglia G,Masterton R. A European care bundle for prevention of ventilator-associated pneumonia Intensive Care Med 2010;36:773-80.

Bukhari SZ, Hussain WM, Banjar AA, Fatani MI, Karima TM, Ashshi AM. Application of ventilator care bundle and its impact on ventilator associated pneumoniaincidence rate in the adult intensive care unit . Saudi Med J . 2012; 33(3):278 - 83 .

http://www.cdc.gov/nhsn/PDFs/dataStat/NHSN-Report_2010-Data-Summary.pdf.

Youngquist P, Carroll M. Farber M, Macy D, Madrid P, Ronning J et al. Implementing a ventilator bundle in a community hospital. The Joint Commission Journal on Quality and Patient Safety2007;33(4), 219-25.

Resar R., Pronovost P., Haraden C., Simmonds T., Rainey T, Nolan T. Using a bundle approach to improve ventilator care processes and reduce ventilator associated pneumonia. Journal on Quality and Patient Safety, 2005; 31(5), 243-48.

Dorothy B, Amanda Z, Charles O'D, Julie S, Cathy K, Robert B et al. Adherence to Ventilator-Associated Pneumonia Bundle and Incidence of Ventilator-Associated Pneumonia in the Surgical Intensive Care Unit . Arch Surg . 2010; 145(5):465 - 70 .

Abbott C.A, Dremsa T, Stewart D.W, Mark D.D, Swift C.C. Adoption of a ventilator-associated pneumonia clinical practice guideline. Worldviews on Evidence-Based Nursing:2006;4(3), 139-52.

Raquel A.C, Alexandre R.M, Marcelino S.D, Cláudia V.S, Oscar F, Henrique S et al. A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting. BMC Infectious Diseases 2012; 12:234-9.

Humberto G, Clara MP, Victor D R. Effectiveness of a multidimensional approach for the prevention of ventilator-associated pneumonia in an adult intensive care unit in Cuba: Findings of the International Nosocomial Infection Control Consortium (INICC). Journal of Infection and Public Health 2013, 6: 98-107.

Pathmawathi S, Kee L.C, Suresh V.G, Marzida M., Kwan H. Impact of education on ventilator-associated pneumonia in the intensive care unit. Singapore Med J 2013; 54(5): 281-4.

Downloads

Published

2013-06-20

How to Cite

Garout, M. . (2013). Compliance and Association of Ventilator Associated Pneumonia Bundle Strategy With Ventilator Associated Pneumonia rate: A Saudi Experience. Journal of Bahria University Medical and Dental College, 3(1), 11–15. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/47

Issue

Section

Original Articles