Efficacy of an expanded ventilator bundle for the reduction of ventilator-associated pneumonia in the medical intensive care unit

被引：66

作者：

Blamoun, John ^{[1
,2
,4
]}

Alfakir, Maria ^{[3
,4
]}

Rella, Marie E. ^{[5
]}

Wojcik, Janice M. ^{[6
]}

Solis, Roberto A. ^{[1
,2
,4
]}

Khan, M. Anees ^{[1
,2
,4
]}

DeBari, Vincent A. ^{[1
,4
]}

机构：

[1] Seton Hall Univ, Sch Hlth & Med Sci, Dept Internal Med, S Orange, NJ 07079 USA

[2] Seton Hall Univ, Div Pulm Med, S Orange, NJ 07079 USA

[3] Mt Sinai Sch Med, Dept Internal Med, New York, NY USA

[4] St Josephs Reg Med Ctr, Dept Med, Paterson, NJ USA

[5] St Josephs Reg Med Ctr, Dept Infect Control, Paterson, NJ USA

[6] St Josephs Reg Med Ctr, Dept Nursing, Paterson, NJ USA

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2009年 / 37卷 / 02期

关键词：

PREVENTION;

D O I：

10.1016/j.ajic.2008.05.010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The ventilator bundle (VB) includes a group of clinical maneuvers (head-of-bed elevation, "sedation vacation:" deep vein thrombosis prophylaxis, and peptic ulcer disease prophylaxis) to improve outcomes in patients undergoing mechanical ventilation. We modified the standard VB in our medical intensive care unit to include a group of respiratory therapist-driven protocols and, post-implementation, observed a statistically significant (P = .0006) reduction in ventilator-associated pneumonia (VAP), from a median of 14.1 cases/10(3) ventilator-days (interquartile range [IQR] = 12.1 to 20.6) to 0 cases/10(3) ventilator-days (IQR = 0 to 1.1). Copyright (C) 2009 Association for Professionals in Infection Control and Epidemiology, Inc.

引用

页码：172 / 175

页数：4

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