EFFECT OF COMPREHENSIVE STRATEGIES FOR PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA ON INCIDENCE OF THE DISEASE IN HOSPITALIZED PATIENTS IN INTENSIVE CARE UNITS

  • Khadijeh Nasiriani *Nursing department, Nursing - midwifery school, Shaheed Sadoughi University of Medical Sciences and Health Services, Yazd-Iran.
  • Mohammad Hossein Jarahzadeh *Nursing department, Nursing - midwifery school, Shaheed Sadoughi University of Medical Sciences and Health Services, Yazd-Iran.
  • Maryam Souroush Nursing department, Nursing - midwifery school, Shaheed Sadoughi University of Medical Sciences and Health Services, Yazd-Iran
Keywords: ventilator-associated pneumonia, oral care, care suction system, intubation

Abstract

ABSTRACT:
INTRODUCTION: Ventilator-associated pneumonia (VAP) is the second most common nosocomial infection and the commonest infection in intensive care units. VAP is associated with prolonged hospitalization, high mortality rate and treatment cost. The present study aimed to determine the impact of the implementing comprehensive strategies for prevention of ventilatorassociated pneumonia on incidence of the disease in hospitalized patients in intensive care units.
METHODS: This was a randomized clinical trial on 86 ventilated patients in intensive care unit. The participants were divided into two groups: control and treatment. Treatment group received comprehensive strategies for prevention of ventilator-associated pneumonia. Control group received routine care. Data collection form consisted of demographic and clinical data as well as "Modified Clinical Pulmonary Infection Score (MCPIS) .The collected data was analyzed using SPSS 20 (descriptive statistical analysis and analysis of variance with repeated measurements).
RESULTS: The results of the study by the third day showed that mean score of MCPIS was not statistically significant in both groups (P > 0.05). Mean score of MCPIS was significantly lower in the treatment group than the control group on the fourth and fifth days of the project (P < 0.05). Trend of incidence of pneumonia was not significant in the treatment group over time (P > 0.05) but statistically significant in the control group (P< 0.05).
CONCLUSION: The results of implementation of comprehensive strategies for prevention of VAP decreased the incidence of ventilator-associated pneumonia in the patients hospitalized in intensive care unit. Therefore, it is recommended that infection control authorities and critical care nurses should use comprehensive prevention strategies in order to reduce the incidence of VAP.

Published
2017-06-03
How to Cite
Khadijeh Nasiriani, Mohammad Hossein Jarahzadeh, & Maryam Souroush. (2017). EFFECT OF COMPREHENSIVE STRATEGIES FOR PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA ON INCIDENCE OF THE DISEASE IN HOSPITALIZED PATIENTS IN INTENSIVE CARE UNITS . Journal of University Medical & Dental College, 8(4), 20-26. Retrieved from https://jumdc.com/index.php/jumdc/article/view/151
Section
Original Article