Strategies for Prevention of Ventilator-Associated Pneumonia: Bundles, Devices, and Medications for Improved Patient Outcomes

Ventilator-associated pneumonia is associated with significant patient morbidity, mortality, and increased health care costs. In the current economic climate, it is crucial to implement cost-effective prevention strategies that have proven efficacy. Multiple prevention measures have been proposed by...

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Bibliographic Details
Published in:Hospital practice (1995) 2012-02, Vol.40 (1), p.81-92
Main Authors: Alroumi, Fahad, Sarwar, Akmal, Grgurich, Philip E., Lei, Yuxiu, Hudcova, Jana, Craven, Donald E.
Format: Article
Language:English
Subjects:
Chlorhexidine - administration & dosage
Cost-Benefit Analysis
Disinfectants - administration & dosage
Drainage - methods
Gastrointestinal Agents - administration & dosage
Hand Disinfection - methods
Humans
infection
Infection Control - methods
Inservice Training
intensive care unit
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Length of Stay - economics
Length of Stay - statistics & numerical data
mechanical ventilation
Oral Hygiene - methods
Patient Positioning - methods
pneumonia
Pneumonia, Ventilator-Associated - drug therapy
Pneumonia, Ventilator-Associated - economics
Pneumonia, Ventilator-Associated - prevention & control
prevention
Probiotics - administration & dosage
respiratory failure
Synbiotics
Time Factors
Treatment Outcome
Ventilator Weaning - methods
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Summary:Ventilator-associated pneumonia is associated with significant patient morbidity, mortality, and increased health care costs. In the current economic climate, it is crucial to implement cost-effective prevention strategies that have proven efficacy. Multiple prevention measures have been proposed by various expert panels. Global strategies have focused on infection control, and reduction of lower airway colonization with bacterial pathogens, intubation, duration of mechanical ventilation, and length of stay in the intensive care unit. Routine use of the Institute for Healthcare Improvement ventilator care bundle is widespread, and has been clearly demonstrated to be an effective method for reducing the incidence of ventilator-associated pneumonia. In this article, we examine specific aspects of the Institute for Healthcare Improvement bundle, better-designed endotracheal tubes, use of antibiotics and probiotics, and treatment of ventilator-associated tracheobronchitis to prevent ventilator-associated pneumonia.
ISSN:2154-8331
2377-1003
DOI:10.3810/hp.2012.02.949