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The Combination Strategy to Reduce Early Ventilator Associated Pneumonia

Author(s):
Hakimeh ArabnejadHakimeh Arabnejad1, Abbas EbadiAbbas EbadiAbbas Ebadi ORCID2,*, Mahdi AhmadinejadMahdi Ahmadinejad3, Nematollah Jonid JaffariNematollah Jonid Jaffari4, Sayed Davood TadrisiSayed Davood Tadrisi5, Masoud SaghafiniaMasoud Saghafinia6, Abbas Ali Imani FooladiAbbas Ali Imani Fooladi7
1Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, IR Iran
2Assistant Professor, Nursing Faculty Baqiyatallah University of Medical Sciences, Tehran, IR Iran
3Assistant Professor, Anesthesiologist and Specialist in ICUMD, Bahonar Hospital, Kerman University Medical of Sciences, Kerman, IR Iran
4Assistant Professor, Specialist in Infection Disease, Health Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran
5Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, IR Iran
6Assistant Professor, Anesthesiologist, Trauma Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran
7Assistant Professor, Microbiology Applied Microbiology, Research Center, Baqiyatallah University Medical of Sciences, Tehran, IR Iran


Archives of Clinical Infectious Diseases:Vol. 6, issue 4
Article type:Research Article
How to Cite:Hakimeh ArabnejadAbbas EbadiMahdi AhmadinejadNematollah Jonid JaffariSayed Davood TadrisiMasoud SaghafiniaAbbas Ali Imani Fooladiet al.The Combination Strategy to Reduce Early Ventilator Associated Pneumonia.Arch Clin Infect Dis.6(4):null-null.

Abstract

Background:

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units(ICUs), leading to increase in mortality and length of ICU and hospital stay as well as duration of mechanical ventilationand hospital charges .

Methods:

In a controlled clinical trial, 117 patients undergoing mechanical ventilation were evaluated in ICU in two groups comprising control (n=71) and intervention (n=46); the former received the ward's routine care, and the latter received planned nursing care protocols. Incidence of pneumonia was investigated using clinical pulmonary infectionscore system (CPIS) and Mini-BAL method .

Results:

The incidence of early VAP was 19.6% and 40.8% in the intervention and the control groups respectively (P<0.001). The early VAP rate was 22.8 and 14.41 per 1000 ventilator days in control and the intervention groups.respectively. Length of ICU (P <0.02) and hospital (P<0.001) stay and also duration of mechanical ventilation (P<0.001)showed significant reduction in the intervention group compared to the controls.

Conclusions:

Precise implementation of planned and evidence-based nursing care is effective in reducing incidence,duration and hospital stay associated with early VAP .

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