Ventilator associated pneumonia
Prevention of Ventilator Associated Pneumonia
Abstract
Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the Chlorhexidine mouth care and other ventilator bundle strategies decreased the VAP rate. Evidence based research studies proved that almost 89.7% reduction in VAP occurs after the implementation of ventilator bundle and other care related to it (Hutchins et al, 2009). Ventilator care bundle was introduced in 2005 by the Institute of Healthcare Improvement with the aim to increase nursing compliance with evidenced-based actions to decrease the VAP rate (Sedwick et al, 2012).
Problem identification and its description
One of the most common problems identified in the ICU is VAP. According to Patricia, VAP is a hospital acquired infection occurs within 48-72 hours of post intubation. The microorganism enters the lower respiratory tract and lung parenchyma via the Endo Tracheal Tube (ETT) or tracheostomy tube and cause infiltration of the tissues which causes pneumonia (Arrolga et al, 2012). Studies proved that the introduction and use ventilator bundle significantly decreased the VAP rate. VAP accounts more than eighty percentage of the hospital acquired pneumonia. Studies proved that the introduction and use ventilator bundle significantly decreased the VAP rate. VAP accounts more than eighty percentage of the hospital acquired pneumonia (Patricia et al, 2012). Evidence proved that VAP is caused by inadequate oral hygiene and poor management of the ventilated patients by the registered nurses and respiratory therapist. Adequate and timely oral care decreased the number of VAP in United
Abstract
Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the Chlorhexidine mouth care and other ventilator bundle strategies decreased the VAP rate. Evidence based research studies proved that almost 89.7% reduction in VAP occurs after the implementation of ventilator bundle and other care related to it (Hutchins et al, 2009). Ventilator care bundle was introduced in 2005 by the Institute of Healthcare Improvement with the aim to increase nursing compliance with evidenced-based actions to decrease the VAP rate (Sedwick et al, 2012).
Problem identification and its description
One of the most common problems identified in the ICU is VAP. According to Patricia, VAP is a hospital acquired infection occurs within 48-72 hours of post intubation. The microorganism enters the lower respiratory tract and lung parenchyma via the Endo Tracheal Tube (ETT) or tracheostomy tube and cause infiltration of the tissues which causes pneumonia (Arrolga et al, 2012). Studies proved that the introduction and use ventilator bundle significantly decreased the VAP rate. VAP accounts more than eighty percentage of the hospital acquired pneumonia. Studies proved that the introduction and use ventilator bundle significantly decreased the VAP rate. VAP accounts more than eighty percentage of the hospital acquired pneumonia (Patricia et al, 2012). Evidence proved that VAP is caused by inadequate oral hygiene and poor management of the ventilated patients by the registered nurses and respiratory therapist. Adequate and timely oral care decreased the number of VAP in United