Implementation of Ventilator Bundle in Pediatric Intensive Care Unit of a Developing Country

被引：0
|
作者：
Haque, Anwarul [1 ]
Riaz, Quratulain [1 ]
Ali, Syed Asad [1 ]
机构：
[1] Aga Khan Univ Hosp, Dept Pediat & Child Hlth, Stadium Rd, Karachi, Pakistan
来源：
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN | 2017年 / 27卷 / 05期
关键词：
VAP; Mechanical ventilation; Ventilator bundle; Resource-limited country; PNEUMONIA;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The aim of this study was to assess the frequency of VAP (ventilator associated pneumonia) after strict implementation of ventilator bundle in PICU. Medical records of all children (age 1 month - 16 years) were retrospectively reviewed, who were on mechanical ventilation (MV) for more than 48 hours and received all key components of "ventilator bundle" from January 2012 to December 2014. Out of 1050, 565 (54%) patients were enrolled. The mean age was 4.02 SD 4.29 years and 62 (69%) were male. The indications of MV were respiratory illness (54%), neurological illness (31%), shock (9%), and postoperative care (6%). The mean duration of MV was 7.05 SD 5.4 days. Only 4 patients (0.7%) developed VAP. The incidence-density of VAP was 1.6 per 1000 ventilator days. The strict implementation of simple, inexpensive interventions (ventilator bundle) in care of mechanically ventilated children can decrease significantly VAP even in resource-limited country.
引用
收藏
页码：316 / 318
页数：3
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