Archives of Clinical Infectious Diseases
Hakimeh Arabnejad1, 
Abbas Ebadi
2,*, Mahdi Ahmadinejad3, Nematollah Jonid Jaffari4, Sayed Davood Tadrisi5, Masoud Saghafinia6, Abbas Ali Imani Fooladi7Ventilator-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 .
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 .
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.
Precise implementation of planned and evidence-based nursing care is effective in reducing incidence,duration and hospital stay associated with early VAP .
© 2011, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Yaghoubinia F, Nasir-al-din Tabatabaei SM, Jahantigh M, Mohammadi P. Impact of Care Program on Ventilator-Associated Pneumonia Incidence: A Clinical Trial. Med Surg Nurs J. 2030;5(4):e67933. doi:
yekefallah L, Shafaii M, dehghankar L. Strategies for the Prevention of Ventilator-associated Pneumonia in the Intensive Care Units: A Review. J Inflamm Dis. 2024;23(4):e156175. doi:
Amr G, Beshir M, Albanna E, Ali Y, Badr M. Ventilator Associated Pneumonia in Critically-Ill Neonates Admitted To Neonatal Intensive Care Unit, Zagazig University Hospitals. Inn J Pediatr. 2011;21(4):. doi:
Talebi Taher M, Javad Mousavi SA, Malek Pour H. Ventilator Associated Pneumonia: Microbiology and Identification of Antimicrobial Resistance Pattern by Disk Diffusion and E.Test Methods. Arch Clin Infect Dis. 2008;3(1):. doi:
Mir N, Yaghoubinia F, Dahmardeh AR, Jahantigh M. The Effects of Tracheal Suction with N-acetylcysteine on Incidence of Ventilator-associated Pneumonia. Med Surg Nurs J. 2022;11(4):e135589. doi: https://doi.org/10.5812/msnj-135589
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