Ventilator-Associated Pneumonia Essay

1059 Words Aug 14th, 2012 5 Pages
Ventilator-Associated Pneumonia: A Quantitative Research Study
Vanesia Davis Kelly
Grand Canyon University
Intro to Nursing Research-NRS/433V
April 15, 2012

Ventilator-Associated Pneumonia
Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this
…show more content…
According to Lewis et al (2011), early VAP, the first 96 hours, sputum cultures often grow gram-negative microbes. However, organisms of late VAP were associated with antibiotic resistant microbes. Microbes resistant to antibiotics abundantly consume the hospital. For the collection of data, developed and verified NI surveillance was used. The NI surveillance was useful for measuring both the incidence and risk factors of VAP according to Katherason et al (2009). Demographical data, past medical history, medications, nutritional status, laboratory results, diagnosis, history of illness, etc were all included in the surveillance. The Acute Physiology and Chronic Health Evaluation III score measured the severity of the illness. The APCHE is comprised of the acute physiological score that entails the major physiological systems and the chronic health evaluation that incorporates the influence of co-morbid conditions on the patient’s current health (O'Keefe-McCarthy, Santiago, & Lau, 2008). During the surveillance, data from nursing documentation, physician progress notes, laboratory results, and direct observations. Data was collected from the time of admission until the diagnosis of VAP was made. The patients who were discharged from the ICU and sent to a regular medical surgical floor were followed for an additional 48 to ensure that VAP would be detected that manifested after the discharge. Risk factors involved with VAP in the ICUs are