逐步实施预防策略及其对呼吸机相关肺炎发病率的影响:一项为期 13 年的观察性监测研究。

Bert Maertens, Stijn Blot, Diana Huis In 't Veld, Koen Blot, Annelies Koch, Katrien Mignolet, Elise Pannier, Tom Sarens, Werner Temmerman, Walter Swinnen
{"title":"逐步实施预防策略及其对呼吸机相关肺炎发病率的影响:一项为期 13 年的观察性监测研究。","authors":"Bert Maertens, Stijn Blot, Diana Huis In 't Veld, Koen Blot, Annelies Koch, Katrien Mignolet, Elise Pannier, Tom Sarens, Werner Temmerman, Walter Swinnen","doi":"10.1016/j.iccn.2024.103769","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the practice of ventilator-associated pneumonia (VAP) prevention and control through the incremental introduction of prevention strategies and assess the effect on VAP incidence.</p><p><strong>Design: </strong>Historical observational surveillance study conducted over 13 years.</p><p><strong>Setting: </strong>A 12-bed adult intensive care unit (ICU) in a general hospital in Belgium.</p><p><strong>Participants: </strong>Patients admitted between 2007 and 2019, with ICU stays of ≥48 h.</p><p><strong>Interventions: </strong>Incremental introduction of VAP preventive measures from 2008, including head-of-bed elevation, cuff pressure control, endotracheal tubes with tapered cuffs, subglottic secretion drainage, chlorhexidine oral care, and daily sedation assessment.</p><p><strong>Measurements and main results: </strong>A significant decline in VAP incidence density rates was observed, from 18.3 to 2.6 cases per 1000 ventilator days from the baseline to the final period.</p><p><strong>Conclusions: </strong>Systematic implementation of VAP preventive measures significantly reduced VAP incidence. However, this reduction did not translate into decreased overall ICU mortality.</p><p><strong>Implications for practice: </strong>The study underscores the importance of continuous VAP surveillance and preventive measures in reducing VAP incidence.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Stepwise implementation of prevention strategies and their impact on ventilator-associated pneumonia incidence: A 13-Year observational surveillance study.\",\"authors\":\"Bert Maertens, Stijn Blot, Diana Huis In 't Veld, Koen Blot, Annelies Koch, Katrien Mignolet, Elise Pannier, Tom Sarens, Werner Temmerman, Walter Swinnen\",\"doi\":\"10.1016/j.iccn.2024.103769\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the practice of ventilator-associated pneumonia (VAP) prevention and control through the incremental introduction of prevention strategies and assess the effect on VAP incidence.</p><p><strong>Design: </strong>Historical observational surveillance study conducted over 13 years.</p><p><strong>Setting: </strong>A 12-bed adult intensive care unit (ICU) in a general hospital in Belgium.</p><p><strong>Participants: </strong>Patients admitted between 2007 and 2019, with ICU stays of ≥48 h.</p><p><strong>Interventions: </strong>Incremental introduction of VAP preventive measures from 2008, including head-of-bed elevation, cuff pressure control, endotracheal tubes with tapered cuffs, subglottic secretion drainage, chlorhexidine oral care, and daily sedation assessment.</p><p><strong>Measurements and main results: </strong>A significant decline in VAP incidence density rates was observed, from 18.3 to 2.6 cases per 1000 ventilator days from the baseline to the final period.</p><p><strong>Conclusions: </strong>Systematic implementation of VAP preventive measures significantly reduced VAP incidence. However, this reduction did not translate into decreased overall ICU mortality.</p><p><strong>Implications for practice: </strong>The study underscores the importance of continuous VAP surveillance and preventive measures in reducing VAP incidence.</p>\",\"PeriodicalId\":94043,\"journal\":{\"name\":\"Intensive & critical care nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Intensive & critical care nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.iccn.2024.103769\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Intensive & critical care nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.iccn.2024.103769","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的描述通过逐步引入预防策略来预防和控制呼吸机相关肺炎(VAP)的做法,并评估对 VAP 发生率的影响:设计:历时 13 年的历史性观察监测研究:地点:比利时一家综合医院拥有 12 张病床的成人重症监护病房(ICU):干预措施:干预措施:从2008年起逐步引入VAP预防措施,包括抬高床头、控制袖带压力、使用锥形袖带的气管插管、声门下分泌物引流、洗必泰口腔护理和每日镇静评估:从基线到最后阶段,VAP发病密度明显下降,从每1000个呼吸机日18.3例降至2.6例:结论:系统性地实施 VAP 预防措施大大降低了 VAP 的发生率。结论:系统性地实施 VAP 预防措施大大降低了 VAP 的发生率,但这种降低并没有转化为 ICU 整体死亡率的下降:这项研究强调了持续的 VAP 监测和预防措施对降低 VAP 发生率的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stepwise implementation of prevention strategies and their impact on ventilator-associated pneumonia incidence: A 13-Year observational surveillance study.

Objective: To describe the practice of ventilator-associated pneumonia (VAP) prevention and control through the incremental introduction of prevention strategies and assess the effect on VAP incidence.

Design: Historical observational surveillance study conducted over 13 years.

Setting: A 12-bed adult intensive care unit (ICU) in a general hospital in Belgium.

Participants: Patients admitted between 2007 and 2019, with ICU stays of ≥48 h.

Interventions: Incremental introduction of VAP preventive measures from 2008, including head-of-bed elevation, cuff pressure control, endotracheal tubes with tapered cuffs, subglottic secretion drainage, chlorhexidine oral care, and daily sedation assessment.

Measurements and main results: A significant decline in VAP incidence density rates was observed, from 18.3 to 2.6 cases per 1000 ventilator days from the baseline to the final period.

Conclusions: Systematic implementation of VAP preventive measures significantly reduced VAP incidence. However, this reduction did not translate into decreased overall ICU mortality.

Implications for practice: The study underscores the importance of continuous VAP surveillance and preventive measures in reducing VAP incidence.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信