Ventilator Associated Pneumonia ( Vap )

1213 Words5 Pages
Ventilator associated pneumonia (VAP) is among the most fatal hospital acquired infections, with mortality ranging from 15% to 70%. Ventilator associated pneumonia is also known to increase length of stay which directly affects unit budgets. In 2010 the institute for health care improvement added daily oral care with chlorahexidine to the five evidence based interventions which include, “(1) head-of-bed elevation between 30 degree and 45 degree; (2) a daily “sedation vacation” and a readiness-to-wean assessment; (3) peptic ulcer disease prophylaxis; (4) deep vein thrombosis prophylaxis; (5) daily oral care with chorahexidine.” (Lim, et al., 2015) Recently in 2015, the South Miami adult intensive care unit added oral chlorahexadine to the…show more content…
National Taiwan University did a retrospective review of data to decrease VAP density by fifty percent at a SICU medical center. The sample population consisted of adult surgical intensive care unit invasively ventilated patients, “The primary aim of this study was to check the efficacy of the VAP bundle by comparing the before and the after density at SICUs. A multidisciplinary teamwork was set up including administrator (vice superintendent), quality improvement and infection control professionals, SICU doctors, and nurses, respiratory therapists, pharmacists, and general affairs and information technology specialists.”(Lim, et al., 2015) The National Taiwan University Hospital’s Infection control department led the education of all disciplines and a revised compliance tool from the institute of healthcare improvement bundle checklist was implemented to track and assess daily compliance. VAP density differences from pre-VAP bundle phase and post-VAP bundle phase was collected and analyzed on SPSS software and the differences in data of inpatients and the outcomes were analyzed based on Mann-Whitney U test. Compliance rate for the SICU nurse’s pre bundle phase and post bundle phase did improve, “ The compliance rates between before and after this re-education promotion
Open Document