Assessment of the Implementation of Ventilator-associated Pneumonia Preventive Bundle in Pediatric Intensive Care Unit

Hanaa I Rady Hanaa I Rady
2013 IOSR Journal of Mathematics  
Pneumonia associated with mechanical ventilation (VAP) is one of the important causes of nosocomial infections in pediatric intensive care units (PICU). VAP is the leading cause of morbidity and mortality in PICUs. Aim: To assess the compliance to ventilator bundle components: elevation of the head of bed >30, sedation interruption, spontaneous breathing trial, peptic ulcer prophylaxis and its effect on the prevention of VAP. Subjects and Methods: A case control study at PICU of Abo EL Reish El
more » ... Moneira Hospital, including all mechanically ventilated patients admitted over a period of one year. The study tested the effect of implementation of this bundle as regard the rate of VAP in both group, compliance to bundle and most affecting component of it. Results: There was decrease incidence of VAP after implementation of the bundle, from (50%) to (14%). Development of VAP was mostly affected by being in supine position, long duration of mechanical ventilation and presence of pump failure. (p<0.05) The compliance to bundle components was statistically significant, p= 0.001. Conclusion: VAP rate decreased after implementation of this bundle. Elevation of the head of bed was the most compliant component of bundle in the PICU.
doi:10.9790/5728-0621115 fatcat:cnrduscbyfbspmpxcnomglvs5y