Ventilator-Associated Pneumonia
Ventilator-Associated Pneumonia: A Quantitative Research Study
Vanesia Davis Kelly
Grand Canyon University
Intro to Nursing Research-NRS/433V
April 15, 2012
Ventilator-Associated Pneumonia
Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this study was to determine the incidence and predictors over time during an intensive care stay in the three hospitals studied (Katherason et al, 2009).
October 2003 marked the beginning of the study. Three hospitals, one university hospital and two governmental hospitals, were involved in this 3-year study. The study spanned over 2300 hospital days and involved 215 patients. This studied not only included VAP but also catheter related blood stream infections and catheter related urinary tract infections. Of the three, VAP incidences surpassed the others.
The design of this study was a continuous validated surveillance of intensive care units. The patients were obviously medical surgical patients. Baseline assessments were completed on all 215 patients. Throughout the 3 years, 864 patients were viewed but only the 215 patients were studied. The 215 patients were all free of infection at the time admission and on mechanical ventilation. Those with preexisting nosocomial infections were excluded (Katherason et al, 2009). All 215 patients had both vascular lines and indwelling catheters in place.
The researcher used the Center for Disease Control and Prevention guidelines to diagnose VAP. Positive microbial stains of respiratory
Vanesia Davis Kelly
Grand Canyon University
Intro to Nursing Research-NRS/433V
April 15, 2012
Ventilator-Associated Pneumonia
Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this study was to determine the incidence and predictors over time during an intensive care stay in the three hospitals studied (Katherason et al, 2009).
October 2003 marked the beginning of the study. Three hospitals, one university hospital and two governmental hospitals, were involved in this 3-year study. The study spanned over 2300 hospital days and involved 215 patients. This studied not only included VAP but also catheter related blood stream infections and catheter related urinary tract infections. Of the three, VAP incidences surpassed the others.
The design of this study was a continuous validated surveillance of intensive care units. The patients were obviously medical surgical patients. Baseline assessments were completed on all 215 patients. Throughout the 3 years, 864 patients were viewed but only the 215 patients were studied. The 215 patients were all free of infection at the time admission and on mechanical ventilation. Those with preexisting nosocomial infections were excluded (Katherason et al, 2009). All 215 patients had both vascular lines and indwelling catheters in place.
The researcher used the Center for Disease Control and Prevention guidelines to diagnose VAP. Positive microbial stains of respiratory
References: Katherason, S., Naing, L., Jaalam, K., Musa K., Mohamad, N., Aiyar S., Bhojwani, K., Harussani, N., Rahman, A., Ismail, A. (2009). Ventilator-associated nosocomial pneumonia in intensive care units in Malaysia. J Infect Dev Ctries 2009; 3(9):704-710. Kozeir, B., Erb, G., Berman, A., & Burke K. (2000). Fundamentals of Nursing: Concepts, process, and practice (6th ed). California: Prince-Hall. Myrianthefs, P., Kalafati, M., Samara, I., & Baltopoulos, G. (2004). Nosocomial pneumonia. Critical Care Nursing Quarterly, 27(3), 241-257. O 'Keefe-McCarthy, S., Santiago, C., & Lau, G. (2008). Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews On Evidence-Based Nursing, 5(4), 193-204. Ruffell, A., & Adamcova, L. (2008). Ventilator-associated pneumonia: prevention is better than cure. Nursing In Critical Care, 13(1), 44-53. Taylor, C., Lillis, C., Lemone, P., & Lynn, P. (2008) Fundamentals of nursing: The art and science of nursing care (6th ed). Philadelphia, PA: Lippincott-Raven Publishers.