An Evidence-Based Oral Care Protocol to Decrease Ventilator-Associated Pneumonia

被引:13
|
作者
Cuccio, Lisa [1 ,2 ]
Cerullo, Ellen [3 ,4 ]
Paradis, Heidi [3 ]
Padula, Cynthia [3 ]
Rivet, Cindy [5 ]
Steeves, Susan [6 ]
Lynch, Judy [3 ]
机构
[1] Miriam Hosp, Patient Safety Reporting Syst, Providence, RI USA
[2] Miriam Hosp, Rhode Isl Intens Care Unit Collaborat, Act, Providence, RI USA
[3] Miriam Hosp, 164 Summit Ave, Providence, RI 02906 USA
[4] Rhode Isl Intens Care Unit Collaborat, Act, Providence, RI USA
[5] Miriam Hosp, Coronary Care Unit, Providence, RI USA
[6] Miriam Hosp, Cardiothorac Unit, Providence, RI USA
关键词
Hospital-acquired infections; Mechanical ventilation; Ventilator-associated pneumonia;
D O I
10.1097/DCC.0b013e3182619b6f
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The purpose of this study was to examine the impact of 0.12% chlorhexidine rinses and an oral care protocol on ventilator-associated pneumonia rates. A quasi-experimental preintervention-postintervention design was used. The sample included all patients admitted to critical care and on mechanical ventilation at any time during the study period. Data were collected 6 months before and 12 months after intervention. Ventilator-associated pneumonia rates were reduced from 4.3 to 1.86 per 1000 ventilator-days during the study period, with an estimated cost avoidance of $700 000 to $798 000.
引用
收藏
页码:301 / 308
页数:8
相关论文
共 50 条
  • [41] Oral Care, Ventilator-Associated Pneumonia, and Counting Cultures Response
    Pedreira, Mavilde L. G.
    Kusahara, Denise M.
    Nunez, Silvia Cristina
    Peterlini, Maria Angelica S.
    AMERICAN JOURNAL OF CRITICAL CARE, 2009, 18 (06) : 508 - 509
  • [42] Ventilator-Associated Pneumonia The Importance of Oral Care in Intubated Adults
    Stonecypher, Karen
    CRITICAL CARE NURSING QUARTERLY, 2010, 33 (04) : 339 - 347
  • [43] ORAL DECONTAMINATION AND VENTILATOR-ASSOCIATED PNEUMONIA
    POOLE, GV
    GRISWOLD, JA
    MUAKKASSA, FF
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 266 (11): : 1511 - 1512
  • [44] Oral Care and Ventilator-Associated Pneumonia An Integrated Review of the Literature
    Parsons, Susan
    Lee, Carla A.
    Strickert, Debbie
    Trumpp, Margaret
    DIMENSIONS OF CRITICAL CARE NURSING, 2013, 32 (03) : 138 - 145
  • [45] The ventilator care bundle and its impact on ventilator-associated pneumonia: a review of the evidence
    Lawrence, Petra
    Fulbrook, Paul
    NURSING IN CRITICAL CARE, 2011, 16 (05) : 222 - 234
  • [46] Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: Diagnosis and treatment
    Muscedere, John
    Dodek, Peter
    Keenan, Sean
    Fowler, Rob
    Cook, Deborah
    Heyland, Daren
    JOURNAL OF CRITICAL CARE, 2008, 23 (01) : 138 - 147
  • [47] Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among intensive care nurses
    Blot, Stijn I.
    Labeau, Sonia
    Vandijck, Dominique
    Van Aken, Paul
    Claes, Brigitte
    INTENSIVE CARE MEDICINE, 2007, 33 (08) : 1463 - 1467
  • [48] Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among intensive care nurses
    Stijn I. Blot
    Sonia Labeau
    Dominique Vandijck
    Paul Van Aken
    Brigitte Claes
    Intensive Care Medicine, 2007, 33 : 1463 - 1467
  • [49] The Survey on Implementation of Evidence-Based Nursing in Preventing Ventilator-Associated Pneumonia and the Effect Observation
    Meng, Ke
    Li, Yuan
    Li, Shufa
    Zhao, Huanli
    Chen, Li
    CELL BIOCHEMISTRY AND BIOPHYSICS, 2015, 71 (01) : 375 - 381
  • [50] The Survey on Implementation of Evidence-Based Nursing in Preventing Ventilator-Associated Pneumonia and the Effect Observation
    Ke Meng
    Yuan Li
    Shufa Li
    Huanli Zhao
    Li Chen
    Cell Biochemistry and Biophysics, 2015, 71 : 375 - 381