Effect of bundle intervention on ventilator-associated pneumonia in an inten-sive care unit
10.3969/j.issn.1671-9638.2016.01.007
- VernacularTitle:重症监护病房呼吸机相关肺炎集束化干预效果
- Author:
Wei ZHENG
;
Yiping MAO
;
Hong ZHOU
;
Fangzheng HAN
;
Renxu ZHAI
;
Yi ZHAO
- Publication Type:Journal Article
- Keywords:
ventilator-associated pneumonia;
intensive care unit;
healthcare-associated infection;
infection con-trol;
targeted monitoring
- From:
Chinese Journal of Infection Control
2016;(1):31-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of bundle intervention measures on preventing ventilator-associated pneumonia (VAP).Methods Patients who were admitted to an intensive care unit(ICU)of a hospital from January 2012 to December 2013 were monitored,patients from January to December 2012 were as control group,while from January to December 2013 were as intervention group (bundle intervention measures were implemented).Usage rate of ventilators and incidence of VAP between two groups were compared.Results A total of 4 560 patients were mo-nitored,2 608 in intervention group and 1 952 in control group.Usage rate of ventilators in intervention group was lower than control group (53.95% vs 61 .17%;χ2 =65.756,P <0.01).Incidence of VAP per 1 000 ventilator days in intervention group was lower than control group (13.00‰ vs 19.56‰;χ2 =4.649,P =0.031 ).Percentage of late-onset VAP per 1 000 ventilator days in tervention group was higher than control group(41 .82‰ vs 24.59‰). Conclusion Bundle intervention measures are helpful for reducing the incidence of VAP in ICU patients.
