Can We Achieve Zero Hospital-Acquired Pneumonia?

Can We Achieve Zero Hospital-Acquired Pneumonia? Purpose of Review Ventilator-associated pneumonia (VAP) is still a common complication in intensive care units, being associated with higher costs, increasing hospital length of stay, duration of mechanical ventilation and use of antimicrobials. Ventilator care bundles are key measures to patient care quality improvement, and their implementation contrib- utes to the reduction in the incidence of VAP. The current review focuses on preventive measures of VAP and a potential concept of zero VAP rate. Recent Findings Several reports have documented a decrease in VAP rate with the imple- mentation of ventilator care bundles. Despite the improvement on VAP incidence, risk factors to VAP are numerous and although some are preventable, it is unachievable to eliminate the majority. Summary VAP is not always preventable and thus unlikely to reach zero rate. Several reportshavedocumentedadecreaseintheincidenceofVAP when abundleis 154 Treatment and Prevention of Hospital Infections (D Vilar-Compte, Section Editor) implemented. The major restrain to care bundles implementation is adherence; compli- ance to them is the achieving goal that can be reached by the use of a maximum of five interventions, with a strong effort on multidisciplinary education and continued feedback. Surveillance, prevention, and education remain a priority in critical care in order to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Treatment Options in Infectious Diseases Springer Journals

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Publisher
Springer US
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Infectious Diseases
eISSN
1534-6250
D.O.I.
10.1007/s40506-018-0164-x
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Ventilator-associated pneumonia (VAP) is still a common complication in intensive care units, being associated with higher costs, increasing hospital length of stay, duration of mechanical ventilation and use of antimicrobials. Ventilator care bundles are key measures to patient care quality improvement, and their implementation contrib- utes to the reduction in the incidence of VAP. The current review focuses on preventive measures of VAP and a potential concept of zero VAP rate. Recent Findings Several reports have documented a decrease in VAP rate with the imple- mentation of ventilator care bundles. Despite the improvement on VAP incidence, risk factors to VAP are numerous and although some are preventable, it is unachievable to eliminate the majority. Summary VAP is not always preventable and thus unlikely to reach zero rate. Several reportshavedocumentedadecreaseintheincidenceofVAP when abundleis 154 Treatment and Prevention of Hospital Infections (D Vilar-Compte, Section Editor) implemented. The major restrain to care bundles implementation is adherence; compli- ance to them is the achieving goal that can be reached by the use of a maximum of five interventions, with a strong effort on multidisciplinary education and continued feedback. Surveillance, prevention, and education remain a priority in critical care in order to

Journal

Current Treatment Options in Infectious DiseasesSpringer Journals

Published: Apr 30, 2018

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