Education to prevent ventilator-associated pneumonia in intensive care unit

ABSTRACT Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive...

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Bibliographic Details
Main Author: Branco,Aline (author)
Other Authors: Lourençone,Emerson Matheus Silva (author), Monteiro,Ariane Baptista (author), Fonseca,Jaqueline Pettitembert (author), Blatt,Carine Raquel (author), Caregnato,Rita Catalina Aquino (author)
Format: article
Language:eng
Published: 2020
Subjects:
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000600172
Country:Brazil
Oai:oai:scielo:S0034-71672020000600172
Description
Summary:ABSTRACT Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.