Impact of the Ventilator-associated Pneumonia Bundle in a Medical Intensive Care Unit
10.7586/jkbns.2018.20.4.205
- Author:
Song Yi YOO
1
;
Jae Sim JEONG
;
Sang Ho CHOI
;
Mi Na KIM
Author Information
1. Department of Clinical Nursing, University of Ulsan Graduate School of Industrial Technology, Ulsan, Korea. jsjeong@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Ventilator-associated pneumonia;
Ventilator bundle;
Infection control;
Intensive care units
- MeSH:
Compliance;
Critical Care;
Incidence;
Infection Control;
Intensive Care Units;
Korea;
Observational Study;
Pneumonia, Ventilator-Associated;
Retrospective Studies;
Ventilators, Mechanical
- From:Journal of Korean Biological Nursing Science
2018;20(4):205-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia. METHODS: This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention. RESULTS: The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio=4.99, confidence interval=1.63–15.25, p=.004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention. CONCLUSION: This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.
