Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Impact of the Ventilator-associated Pneumonia Bundle in a Medical Intensive Care Unit

내과계중환자실에서 인공호흡기관련 폐렴 번들 적용의 효과

  • Yoo, Song Yi (Department of Clinical Nursing, University of Ulsan Graduate School of Industrial Technology) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan Graduate School of Industrial Technology) ;
  • Choi, Sang Ho (Department of Infectious Diseases, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Mi Na (Department of Diagnostic Medicine, University of Ulsan College of Medicine, Asan Medical Center)
  • 유송이 (울산대학교 산업대학원 임상전문간호학) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학) ;
  • 최상호 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 김미나 (울산대학교 의과대학 서울아산병원 진단검사의학과)
  • Received : 2018.04.24
  • Accepted : 2018.10.21
  • Published : 2018.11.30
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Abstract

Purpose: The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia. Methods: This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention. Results: The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio= 4.99, confidence interval= 1.63-15.25, p= .004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention. Conclusion: This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.

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References

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