Abstract
Introduction: Ventilator-Associated Pneumonia (VAP) is a frequent infection in patients admitted to intensive care units. The occurrence of VAP prolongs hospital stay and increases health care costs. The objective of this study is to assess adherence of health professionals to a VAP prevention package of interventions (Bundle). Outline: Retrospective, documentary study performed in an intensive care unit of a university hospital. The sample consisted of patients hospitalized in the period from January to June 2014, who met the inclusion criteria. The data collection was carried out through examination of medical records. Results: Increase in hospital stay of patients with VAP and low adherence to Bundle items were verified. Proper cuff pressure and oral hygiene with standardized antiseptic were the items with lower adherence. Implications: The adherence to some Bundle VAP prevention measures was not different between groups of patients (with or without VAP) and showed low values of adherence.
Highlights
Ventilator-Associated Pneumonia (VAP) is a frequent infection in patients admitted to intensive care units
Ventilator-Associated Pneumonia (VAP) is a institute proposed the adoption of four measures: head frequent infection in Intensive Care Units (ICUs),[1] of the bed elevated to 30°; daily awakening through representing 45% of all nosocomial infections acquired protocols for periodic removal of sedation; adequate in Europe, and the prevalence of nosocomial prophylaxis for gastric ulcer and prevention of deep pneumonia in ventilated patients may vary from 9% to venous thrombosis
Bundle
Summary
Ventilator-Associated Pneumonia (VAP) is a frequent infection in patients admitted to intensive care units. Ventilator-Associated Pneumonia (VAP) is a institute proposed the adoption of four measures: head frequent infection in Intensive Care Units (ICUs),[1] of the bed elevated to 30°; daily awakening through representing 45% of all nosocomial infections acquired protocols for periodic removal of sedation; adequate in Europe, and the prevalence of nosocomial prophylaxis for gastric ulcer and prevention of deep pneumonia in ventilated patients may vary from 9% to venous thrombosis. In the United States, it is estimated that 39% of pneumonias are associated with mechanical hygiene performance with chlorhexidine was included.[14] Various studies has suggested the inclusion ventilation.[5] In Brazil, studies show that the or change in priority of other measures in VAP Bundles, prevalence varies from 17.4% to 48.1%.2-3,6-7 whatever they are, the implementation of a protocol
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