Implementación de un bundle para la prevención de la neumonía asociada al ventilador en un hospital universitário
DOI:
https://doi.org/10.17058/reci.v11i4.16334Keywords:
Pneumonia Associada a Ventilação Mecânica. Unidade de Terapia Intensiva. Prevenção. Segurança do PacienteAbstract
Background and objectives: the implementation of ventilator-associated pneumonia (VAP) prevention bundles in Intensive Care Units (ICU) has been recommended due to the considerable increase in hospital costs, length of stay, morbidity and mortality in affected hospitalized patients. However, the results of its effectiveness are still controversial. This study aimed to assess the impact of implementing a VAP prevention bundle in an Adult ICU of a university hospital. Methods: a quasi-experimental study, with implementation of a VAP prevention bundle in an Adult ICU and analysis of indicators. This study addressed secondary data from hospital records recommended in the routine of the Hospital Infection Control Commission team and from the medical records of patients undergoing mechanical ventilation, from June 2016 to July 2019, who developed VAP. Results: VAP incidence density before the intervention was 4.13 infections, and after the intervention, it was 7.15 infections per thousand patients on ventilation/day. When performing the linear regression test, we showed that VAP density decreased as sedation was reduced, extubation was increased, and when compliance with all bundle elements occurred. Conclusion: there was no reduction in VAP incidence after the adoption of preventive measures, perhaps due to an underreporting of cases in the period prior to the bundle and a low team compliance with the bundle components. However, we noticed a decrease in VAP notifications after the eighth month of implementation of bundle of measures.
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Copyright (c) 2022 Taciane Cristina Santana, Luciana Paiva, Cristina da Cunha Hueb Barata de Oliveira
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