Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지

The Effects of Implementation of Ventilator-Associated Pneumonia Prevention Bundles

인공호흡기 관련 폐렴 예방 번들 적용의 효과

  • Kim, Sea Joung (Inje University Haeundae Paik Hospital) ;
  • Lee, Yun Mi (Department of Nursing, Institute of Health Science, Inje University) ;
  • Cho, Jeonghyun (Department of Nursing, Institute of Health Science, Inje University)
  • 김세정 (인제대학교 해운대백병원 간호과) ;
  • 이윤미 (인제대학교 간호학과, 건강과학연구소) ;
  • 조정현 (인제대학교 간호학과, 건강과학연구소)
  • Received : 2017.05.31
  • Accepted : 2017.06.25
  • Published : 2017.06.30
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Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle. Methods: This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2. Results: The numbers and incidences of VAP were significantly different among the three groups. Moreover, there were significant differences among groups in ICU length of stay and mortality. Conclusion: Three different VAP prevention bundles made different effects in patient outcomes.

Keywords

References

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