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Naslov:Efficacy of a bundle approach in preventing the incidence of ventilator associated pneumonia (VAP)
Avtorji:Burja, Sandra (Avtor)
Belec, Tina (Avtor)
Bizjak, Nika (Avtor)
Mori, Jernej (Avtor)
Markota, Andrej (Avtor)
Sinkovič, Andreja (Avtor)
Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina (Lastnik avtorskih pravic)
Datoteke:.pdf Bosnian_Journal_of_Basic_Medical_Sciences_2017_Burja_et_al._Efficacy_of_a_bundle_approach_in_preventing_the_incidence_of_ventilator.pdf (96,15 KB)
 
URL https://www.bjbms.org/ojs/index.php/bjbms/article/view/2278
 
Jezik:Angleški jezik
Vrsta gradiva:Znanstveno delo (r2)
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:MF - Medicinska fakulteta
Opis:Ventilator-associated pneumonia (VAP) is a potentially preventable iatrogenic illness that may develop following mechanical ventilation. A bundle for the prevention of VAP consists of different measures which may vary between institutions, and may include: elevation of the head of the bed, oral care with chlorhexidine, subglottic suctioning, daily assessment for extubation and the need for proton-pump inhibitors, use of closed suction systems, and maintaining endotracheal cuff pressure at 25 cmH2O. Our aim was to determine the efficacy of a VAP prevention bundle, consisting of the above-mentioned measures, by evaluating the incidence of VAP before (no-VAP-B group) and after (VAP-B group) the introduction of the bundle. We retrospectively evaluated the data for patients who were mechanically ventilated with an endotracheal tube, in the period between 1 September and 31 December 2014 (no-VAP-B group, n = 55, 54.5% males, mean age 67.8 ± 14.5 years) and between 1 January to 30 April 2015 (VAP-B group, n = 74, 62.1% males, mean age 64.8 ± 13.7 years). There were no statistically significant differences between no-VAP-B and VAP-B groups in demographic data, intensive care unit (ICU) mortality, hospital mortality, duration of ICU treatment, and duration of mechanical ventilation. No significant differences in the rates of VAP and early VAP (onset ≤7 days after intubation) were found between no-VAP-B and VAP-B groups (41.8% versus 25.7%, p = 0.06 and 10.9% versus 12.2%, p > 0.99, respectively). However, a significant decrease in the late VAP (onset >8 days after intubation) was found in VAP-B group compared to no-VAP-B group (13.5% versus 30.9%, p = 0.027). Overall, our results support the use of VAP prevention bundle in clinical practice.
Ključne besede:ventilator-associated pneumonia, VAP, primary prevention, epidemiology, medical devices, intratracheal intubation, bundle
Leto izida:2017
Št. strani:str. 1-17
Številčenje:št. , Letn.
ISSN:1840-4812
UDK:616.24-002
COBISS_ID:6117439 Povezava se odpre v novem oknu
DOI:10.17305/bjbms.2017.2278 Povezava se odpre v novem oknu
ISSN pri članku:1840-4812
NUK URN:URN:SI:UM:DK:40L2JCEB
Število ogledov:441
Število prenosov:160
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Gradivo je del revije

Naslov:Bosnian Journal of Basic Medical Sciences
Založnik:The Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
ISSN:1840-4812
COBISS.SI-ID:5097535 Novo okno

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:ventilatorska pljučnica, VAP, primarna preventiva, epidemiologija, medicinski pripomočki, intratrahealna intubacija


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