The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.21554

Keywords:

Intensive Care Unit; Health Care-Related Infections; Pneumonia; Mechanical pulmonary ventilation.

Abstract

Objective: The main purpose of this paper was to evaluate the incidence of Ventilator-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the adherence of the bundles by healthcare professionals. Methodology: This study was prospective, observational, and quantitative, performed in an ICU located in Ponta Grossa (Paraná, Brazil) gathering data from December 2018 to February 2019 through medical records and bedside observations. Results: This study included 56 patients, of whom 3 acquired VAP. The multi-professional team performed several procedures that met the prevention bundles in that UCI, writing them down in medical records, but some of them were not being applied in practice or were not performed properly, exposing divergences between annotations and bedside observations. Conclusion: It is noted that bundles are effective in preventing VAP, reduces risks of HAI and, consequently, deaths. However, there is a need to guide the applicability and registration by the multidisciplinary team, optimizing the adherence of these measures, in order to improve the quality of health of patients and reducing costs and the length of stay in the ICU related to VAP.

References

Aloush, S. M. (2017). Nurses’ implementation of ventilator-associated pneumonia prevention guidelines: an observational study in Jordan. British Ass. CriticalCare Nurses. 23(3):147-151.

Atashi, V., Yousefi, H., Mahjobipoor, H., & Yazdannik, A. (2018). The barriers to the prevention of ventilator-associated pneumonia from the perspective of critical care nurses: A qualitative descriptive study. Wiley Journal Clin. Nursing. 27(5-6):1161–1170.

Bezerra, E. L., Lima, A. I. F., Nóbrega, A. R. R., Barroso, D. N., Donadi, H. A., Santos, J. G. S., et al. (2012). Prevalência de Pneumonia em pacientes de uma unidade de terapia intensiva de um hospital-escola de Fortaleza – CE. Rev. Bras. Promo. Saúde. 25(2):20-24.

Bork, L. C. A., Gaspar, M. D. R., & Reche, P. M. (2014). Adesão às medidas preventivas de pneumonia associada à ventilação mecânica. Rev.Epid. Control. Infecção. 5(1):12-16.

Cardoso, V. B. (2015). Entendimento dos enfermeiros intensivistas sobre as formas de prevenção de pneumonia associada à ventilação mecânica invasiva: uma revisão da literatura. Rev Eletrôn. Atualiza Saúde. 1(1):25-34.

Chouhdari, A., Shokouhi, S., Bashar, F. R., Azimi, A. V., Shojaei, S. P., Fathi, M., et al. (2018). Is a Low Incidence Rate of Ventilation Associated Pneumonia Associated with Lower Mortality? a Descriptive Longitudinal Study in Iran. Tanaffos, 17(2):110-116.

Cornistein, W., Colque, A. M., Staneloni, M. I., Lloria, M. M., Lares, M., González, A. L., et al. (2018). Neumonía asociada a ventilación mecánica. Actualización y recomendaciones inter-sociedades, Sociedad Argentina de Infectología – Sociedad Argentina de Terapia Intensiva. Medicina. 78(2):99-106.

Güler, E. K., & Türk, G. (2018). Oral Chlorhexidine Against Ventilator- Associated Pneumonia and Microbial Colonization in Intensive Care Patients. Western Journ. Nurs. Resear. 41(6):901-919.

Hereu, L. M., & Marañón, A. A. (2017). Tiempo de elevacióndelcabezal de la cama del paciente conventilaciónmecánica y factores relacionados. Enferm Intensiva. 28(4):169-177.

Khan, R., Al-Dorzi, H., Al-Attas, K., Ahmed, F. W., Marini, A. M., Mundekkadan, S., et al. (2016). The impact of implementing multifaceted interventions on the prevention of ventilator-associated pneumonia. American Journal of Infection Control. 44(3):320-6.

Larrow, V., & Heartt, K. (2016). Prevention of Ventilator-Associated Pneumonia in the Intensive Care Unit: Beyond the Basics. Journ. Neuroscien. Nursing. 48(3):160-5.

Leite, R. F., & Silva, B. M. (2018). Perfil epidemiológico e análise clínica de pacientes com pneumonia associada à ventilação mecânica em um hospital de ensino. Rev Ciências em Saúde. 8(3):14-8.

Li, L., et al. (2018). Development, validation and application of a ventilator-associated pneumonia prevention checklist in a single cardiac surgery center. Intensive& Critical Care Nursing 49:58–64.

Maran, E., Spigolon, D. N., Melo, W. A., Barreto, M. S., Tostes, M. F. P., & Teston, E. F. (2019). Prevenção da pneumonia associada à ventilação mecânica sob a ótica de acadêmicos de enfermagem. Rev. FunCareOnline. 11(1):118-23.

Melo, M. M., Santiago, L. M. M., Nogueira, D. L., & Vasconcelos, M. F. (2019). Pneumonia associada à Ventilação Mecânica: Conhecimento dos Profissionais de Saúde Acerca da Prevenção e Medidas Educativas. RevFundCare Online. 11(2):377-382.

Oliveira, M. L. L., & Nunes, R. D. (2015). Bundles de prevenção da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Revista Amazônica Science&Health. 3(2):36-43.

Ribeiro, C. L., Barbosa, I. V., Silva, R. S. M., Cestari, V. R. F., Penaforte, K. L., Custódio, I. L. (2018). Clinical characterization of patients under mechanical ventilation in a intensive therapy unit. Rev Fund Care Online. 10(2):496-502.

Rodrigues. N. A., Fragoso, L. V. C., Beserra, F. M., & Ramos, I. C. (2016). Determining impacts and factors in ventilator-associated pneumonia bundle. Rev Bras Enferm. 69(6):1045-51.

Shahabi, M, Youselfi, H, Yazdannik, A. R, & Alikiaii, B. (2016). The effect of daily sedation interruption protocol on early incidence of ventilator‑associated pneumonia among patients hospitalized in critical care units receiving mechanical ventilation. IranianJourn. Nurs. Midwif. Resear. 21(5):541-546.

Silva, R. M., Silvestre, M. O., Zocche, T. L., & Sakae, T. M. (2011). Pneumonia associada à ventilação mecânica: fatores de risco. Ver Bras CLin Med. 9(1):5-10.

Silva, S. G., Salles, R. K., Nascimento, E. R. P., Bertoncello, K. C. G., & Cavalcanti, C. D. A. K. (2014). Pneumonia associada à ventilação mecânica: discursos de profissionais acerca da prevenção. Esc Anna Nery. 18(2):290-295.

Silva, T. F., Souza, G. N., Souza, S. S., Bitencourt, J. V. V., Madureira, V. F., & Luzardo, A. R. (2017). Incidência de pneumonia associada à ventilação mecânica em uma Unidade de Terapia Intensiva. Rev.FundCareOnline. 9(4):1121-1125.

Smith, V., Declan, D., Nichol, A., & Roche, D. (2020). Care bundles for improving outcomes in patients with COVID-19 or related conditions in intensive care – a rapid scoping review. Cochrane Database Syst Rev. 12(12): CD013819.

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Published

17/10/2021

How to Cite

CHASTAY, A. M.; BRUNOSKI, J.; NARCISO, A. G. .; DALAZOANA FILHO, E.; POLAY, J. P. G. .; ARCARO, G.; GASPAR, M. D. da R. . The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia. Research, Society and Development, [S. l.], v. 10, n. 13, p. e424101321554, 2021. DOI: 10.33448/rsd-v10i13.21554. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21554. Acesso em: 8 dec. 2021.

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Section

Health Sciences