This website uses cookies to ensure you have the best experience. Learn more

Prevention Of Ventilator Associated Pneumonia Essay

2122 words - 9 pages

Prevention of Ventilator-Associated Pneumonia

Prevention of Ventilator-Associated Pneumonia
Ventilator-Associated Pneumonia (VAP) is the most common nosocomial infection in Critical Care units. VAP is linked with high mortality rates, increased hospital stays, longer mechanical ventilation and increased costs to hospitals and patients (Rosa, Hernandez, Carillo, Fernandez, & Valles, 2012). Patients who have an endotracheal tube (ETT) with mechanical ventilation are more likely to develop VAP. These patients have a poor cough reflex due to a decreased level of consciousness and diminished movement of the respiratory tract mucocila, leading to the inability to clear secretions. These ...view middle of the document...

12% , prophylaxis of peptic ulcer disease and prevention of venous thromboembolism ("IHI," 2011). For a more standardized approach, the following studies researched followed the CDC’s standard definition of VAP. The CDC has created a detailed VAP algorithm to be followed in order to classify it as VAP (Magill et al., 2013). In general, it is identified by using an assortment of objective criteria: decline in respiratory status after a level of stability or improvement on the ventilator, indication of inflammation or infection, and laboratory confirmation of a respiratory infection. To be eligible for VAP, patients must be on mechanical ventilation for more than two days ("VAE," 2014).
A private general hospital in Saudi Arabia implemented a study using the Ventilator Bundle in attempt to decrease the rate of VAP. The study was performed in one of their 18 bed all-adult ICU over a two year period. They studied the rates and practices for one year pre-intervention and then compared those rates for one year after the intervention was applied. The outcome was measured using a ratio of VAP per 1000 ventilator days and investigation was done by a professional trained in infection control by the United States CDC definition. The pre-intervention results were 29 VAP events over the twelve month period or 9.3 events per 1000 ventilator days. Post Ventilator Bundle intervention was 2.5 events per 1000 ventilator days. It was also estimated that each patient who gets VAP will have an increased hospital stay of an additional ten days and an increase to hospital cost of $40,000 or $780,000 yearly. The Ventilator Bundle applied to this study showed a substantial decrease in the rate of VAP and a reduction of cost and hospital stay (Al-tawfiq & Abed, 2012).
Six Korean university hospitals with similar VAP rates conducted an experimental study using the Ventilator Bundle approach on patients on mechanical ventilation in the ICU setting. The bundle was implemented from March 2011-June 2011 and the results were then compared to the VAP rate from the previous eight months without the bundle. The results were conveyed as cases of VAP per 1000 ventilator days. The drawback to this study was that it was relatively short in time. However, the study was large in size including six university hospitals with a total of 196 ICU beds. Each patient was assessed daily by an infection control practitioner (using CDC guidelines) to make sure each bundle element was being applied properly with each patient. The study revealed a reduction in occurrence of VAP with putting the Ventilator Bundle into practice. In the eight month study prior to the initiation of the bundle, there were 4.08 events of VAP per 1000 ventilator days. Over the four month trial with the bundle, results improved to 1.16 events of VAP per 1000 ventilator days (Joong et al., 2013).
In Wynnewood, Pennsylvania, the Intensive Care units of the Lankenau Hospital system adopted the IHI’s Ventilator...

Other assignments on Prevention Of Ventilator-Associated Pneumonia

Human Protection Essay

2629 words - 11 pages HIV/AIDS in the United States Jamie Green Grand Canyon University: NRS-427V April 06, 2014 HIV/AIDS in the United States Scientists identified simian immunodeficiency virus, in chimpanzees in West Africa, as the source of the mutated human virus through contact with the chimpanzee’s infected blood (U.S. Centers for Disease Control and Prevention, 2014). Human immunodeficiency virus (HIV-1) is a preventable, transmissible infection first

Operations Management Essay

1474 words - 6 pages complications. American Journal of Critical Care. 2004;13(5):376 - 382. 4. Staudinger T, Bojic A, Holzinger U, et al. Continuous lateral rotation therapy to prevent ventilator-associated pneumonia*. Crit Care Med. 2010;38(2):1-5. Study used manual proning.

Flu Aper

715 words - 3 pages Influenza or the flu affects an estimated 5-15% of the world’s population and results in 500,000 deaths annually. (World Health Organization, 2009). In the United States, between 1979 and 2001, averages of 226,000 persons were hospitalized and 36,000 died each year as a result of complications from influenza. (Centers for Disease Control and Prevention 2007[CDC]). The primary method for preventing influenza is the flu vaccine, which is available

Health Promotion

1161 words - 5 pages exercises and early mobilization to prevent pneumonia. Nurses can serve as a role model and educator in different settings such as at home with their own family members, clinics, hospitals or in the community (Lazarou, C., & Kouta, C. 2010 ). One role of the nurse in health promotion is to collaborate with all providers involved. Collaboration is especially important when working in a homecare setting to make sure a diagnosis hasn’t changed or the


1644 words - 7 pages genetic disorder called A1-Antitrypsin deficiency is sometimes associated with COPD. (Anthonisen 1497) Although respiratory infections such as influenza and pneumonia do not cause COPD, it can cause people with COPD to get very sick. Therefore it is very important for people to keep their vaccinations up-to-date as a preventative measure. Someone suffering from COPD can suffer from a variety of symptoms. (Anthonisen 1501) At first sight, someone

Swot Analysis Of Healthcare Organizations

1440 words - 6 pages disease, congenital heart disease in adults, coronary artery disease, heart disease prevention, heart failure, etc (Barnes-Jewish Hospital, 1997-2012). . Barnes-Jewish Hospital’s Heart and Vascular Center is renowned for their development and implementation of new heart surgery techniques. Many patients’ lives have been saved and improved, due to the staff’s cutting edge innovative ideas for treatment. The rest of the services offered

Minority Health

820 words - 4 pages average of 85.8 years of age with the national average in the U.S being approximately 78.8 years old. (CDC 2011) The ten leading causes of death among the Asian population in the U.S are; cancers, heart disease, stroke, unintentional injuries, diabetes, influenza/pneumonia, chronic lower respiratory diseases, nephritis/nephrotic syndrome/kidney disease, alzhiemers, and the tenth being suicide. In comparison to the national average heart disease is the


1080 words - 5 pages the prevention of catheter associated urinary tract infections which is likely due to recent healthcare reforms. Facilities will usually have to cover the cost of any hospital acquired catheter associated urinary tract infection, hence why most facilities now have strict guidelines to prevent CAUTI. CAUTI not only is a financial problem for healthcare facilities but it is also a serious problem for the health of their patients. CAUTI increases

Icp Overcrowdign In Ed

2074 words - 9 pages spending time in the ED I am able to see for myself how holding these patient’s has an affect on the patient’s and the staff. I find it a big problem when a very ill patient that is on the ventilator, has several tubes and several different medication drips running is held in the ED longer than necessary. These critically ill patients require one on one care. Most of the time the first so many hours of their stay can be the most important and time

Health Promotion Gcu

1097 words - 5 pages health promotion in that it involves early recognition of diseases such as diabetes though testing of individuals in high-risk populations and providing early interventions that prevent or delay conditions associated with diabetes. Finally, tertiary prevention focuses on decreasing the impact of the disease on an individual with the goal of returning the individual to an optimal level of function through active rehabilitation. In the diabetic

Epidemiology Hepatitis B

1653 words - 7 pages the progression of liver disease and other complications associated with HBV (NVHR, 2008). Tertiary prevention targets those with chronic hepatitis and should include programs that limit the disease progression. These interventions include education and screening for hepatocellular carcinoma, and changing lifestyle behaviors that may worsen liver disease such as the use of alcohol, drugs, and other hepatotoxic substances. Education should also

Similar Documents

Preventing Cauti Essay

2634 words - 11 pages PREVENTING CATHETER ASSOCIATED URINARY TRACT INFECTION Elizabeth Quartey Abstract According to the CDC estimates in 2002 there were 1.7 million Healthcare-Associated Infections (HAI), and 99,000 HAI- associated deaths in the hospital. The report stated that the four largest categories of HAI, responsible for more than 80% of all reported HAI, are central line-associated bloodstream infections (CLABSI, 14%), ventilator-associated pneumonia

Accreditation Audit Task 4 Essay

3108 words - 13 pages associated pneumonia is one of the major concerns of patient safety addressed by the Joint Commission. The intensive care unit has a number increase in falls but there were never correlation identified between the time of the fall and the time of the nursing care hours. Nevertheless, there was an increase this year with the ventilator associated pneumonia (VAP). Corrective action plans were implemented for the improvement of VAP.There was a decrease

Picot Literature Review

1230 words - 5 pages or mortality of preterm infants. The literature reviewed, highlights the differences in extracted natural surfactants and synthetic surfactants and whether one proves to be more beneficial over the other. Pfister RH, Soll R, Wiswell TE. Protein-containing synthetic surfactant versus protein-free synthetic surfactant for the prevention and treatment of respiratory distress syndrome. Cochrane Database of Systematic Reviews, Issue 4. Art. No

Clinical Assignment

1730 words - 7 pages effects. Episode III 7. What type(s) of bacterial pathogens commonly cause community acquired pneumonia in the U.S.? Make sure to include the full genus and species names, including the name for the pathogen that causes “walking pneumonia.” Streptococcus pneumoniae is the causative agent for community acquired pneumonia. Other agents that may cause pneumonia are Haemophilus influenza, Staphylococcus aureus, Legionella spp, and viruses