Abstract
BACKGROUND: Non-ventilator (i.e., non-device related) hospital acquired pneumonia (NV-HAP) is an understudied disease, with substantial fiscal impacts and potential for reduction of morbidity and mortality. Because it is not required by regulatory agencies, most hospitals do not monitor NV-HAP. In 2014, the US Centers for Disease Control and Prevention's reported that NV-HAP now represents 60% of the HAP with mortality similar to VAP. Due to the association between the oral microbiome and pneumonia, we sought to utilize transdisciplinary partnerships to determine the incidence and implement a standardized oral care protocol to reduce NV-HAP.
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