Prevention of ventilator-associated pneumonia
Ventilator-associated pneumonia is the commonest, yet mostly preventable, infection in mechanically ventilated patients. Successful control of ventilator-associated pneumonia can save hospitalisation cost, and is possible by using a multidisciplinary clinical and administrative approach. The ventilator-associated pneumonia rate should be expressed as the number of ventilator-associated pneumonia days per 1000 ventilator days to take into account the device-utilisation duration for meaningful comparison. Various strategies address the issue, including general infection control measures, body positioning, intubation and mechanical ventilation, oral and gastro-intestinal tract, endotracheal tube, airway pressure, cuff pressure, selective digestive and/or oropharyngeal decontamination, and probiotic or early antibiotic treatment, as well as overall administration at a policy level. The rationale and controversy of these approaches are discussed in this article. The authors suggest that all units treating mechanically ventilated patients should have a ventilator-associated pneumonia prevention protocol in place, and ventilator-associated pneumonia should be seriously considered as a key performance indicator in local intensive care units.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
Hong Kong medical journal = Xianggang yi xue za zhi - 21(2015), 1 vom: 16. Feb., Seite 61-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lau, Arthur C W [VerfasserIn] |
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| Links: |
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| Themen: |
Intensive care units |
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| Anmerkungen: |
Date Completed 28.10.2015 Date Revised 20.10.2016 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.12809/hkmj144367 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Ventilator-associated pneumonia is the commonest, yet mostly preventable, infection in mechanically ventilated patients. Successful control of ventilator-associated pneumonia can save hospitalisation cost, and is possible by using a multidisciplinary clinical and administrative approach. The ventilator-associated pneumonia rate should be expressed as the number of ventilator-associated pneumonia days per 1000 ventilator days to take into account the device-utilisation duration for meaningful comparison. Various strategies address the issue, including general infection control measures, body positioning, intubation and mechanical ventilation, oral and gastro-intestinal tract, endotracheal tube, airway pressure, cuff pressure, selective digestive and/or oropharyngeal decontamination, and probiotic or early antibiotic treatment, as well as overall administration at a policy level. The rationale and controversy of these approaches are discussed in this article. The authors suggest that all units treating mechanically ventilated patients should have a ventilator-associated pneumonia prevention protocol in place, and ventilator-associated pneumonia should be seriously considered as a key performance indicator in local intensive care units | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Intensive care units | |
| 650 | 4 | |a Pneumonia, ventilator-associated/prevention & control | |
| 700 | 1 | |a So, H M |e verfasserin |4 aut | |
| 700 | 1 | |a Tang, S L |e verfasserin |4 aut | |
| 700 | 1 | |a Yeung, Alwin |e verfasserin |4 aut | |
| 700 | 1 | |a Lam, S M |e verfasserin |4 aut | |
| 700 | 1 | |a Yan, W W |e verfasserin |4 aut | |
| 700 | 0 | |a Hong Kong East Cluster Task Force on Prevention of Ventilator-associated Pneumonia in Critical Care Areas |e verfasserin |4 aut | |
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