The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study

Joong Sik Eom; Mi Suk Lee; Hee Kyung Chun; Hee Jung Choi; Sun Young Jung; Yeon Sook Kim; Seon Jin Yoon; Yee Gyung Kwak; Gang Bok Oh; Min Hyok Jeon; Sun Young Park; Hyun Sook Koo; Young Su Ju; Jin Seo Lee

doi:10.1016/j.ajic.2013.06.023

The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study

Joong Sik Eom, Mi Suk Lee, Hee Kyung Chun, Hee Jung Choi, Sun Young Jung, Yeon Sook Kim, Seon Jin Yoon, Yee Gyung Kwak, Gang Bok Oh, Min Hyok Jeon, Sun Young Park, Hyun Sook Koo, Young Su Ju, Jin Seo Lee

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

82 Scopus citations

Abstract

Background For prevention of ventilator-associated pneumonia (VAP), a bundle approach was applied to patients receiving mechanical ventilation in intensive care units. The incidence of VAP and the preventive efficacy of the VAP bundle were investigated. Methods A quasi-experimental study was conducted in adult intensive care units of 6 university hospitals with similar VAP rates. We implemented the VAP bundle between March 2011 and June 2011, then compared the rate of VAP after implementation of the VAP bundle with the rate in the previous 8 months. Our ventilator bundle included head of bed elevation, peptic ulcer disease prophylaxis, deep venous thrombosis prophylaxis, and oral decontamination with chlorhexidine 0.12%. Continuous aspiration of subglottic secretions was an option. Results Implementation of the VAP bundle reduced the VAP rate from a mean of 4.08 cases per 1,000 ventilator-days to 1.16 cases per 1,000 ventilator-days. The incidence density ratio (rate) was 0.28 (95% confidence interval, 0.275-0.292). Conclusions Implementing the appropriate VAP bundle significantly decreased the incidence of VAP in patients with mechanical ventilation.

Original language	English
Pages (from-to)	34-37
Number of pages	4
Journal	American Journal of Infection Control
Volume	42
Issue number	1
DOIs	https://doi.org/10.1016/j.ajic.2013.06.023
State	Published - Jan 2014

Bibliographical note

Funding Information:
This study was supported by the Korean Centers for Disease Control and Prevention .

Keywords

Infection control
Intensive care units
Lung diseases

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10.1016/j.ajic.2013.06.023

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Eom, J. S., Lee, M. S., Chun, H. K., Choi, H. J., Jung, S. Y., Kim, Y. S., Yoon, S. J., Kwak, Y. G., Oh, G. B., Jeon, M. H., Park, S. Y., Koo, H. S., Ju, Y. S., & Lee, J. S. (2014). The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study. American Journal of Infection Control, 42(1), 34-37. https://doi.org/10.1016/j.ajic.2013.06.023

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title = "The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study",

abstract = "Background For prevention of ventilator-associated pneumonia (VAP), a bundle approach was applied to patients receiving mechanical ventilation in intensive care units. The incidence of VAP and the preventive efficacy of the VAP bundle were investigated. Methods A quasi-experimental study was conducted in adult intensive care units of 6 university hospitals with similar VAP rates. We implemented the VAP bundle between March 2011 and June 2011, then compared the rate of VAP after implementation of the VAP bundle with the rate in the previous 8 months. Our ventilator bundle included head of bed elevation, peptic ulcer disease prophylaxis, deep venous thrombosis prophylaxis, and oral decontamination with chlorhexidine 0.12%. Continuous aspiration of subglottic secretions was an option. Results Implementation of the VAP bundle reduced the VAP rate from a mean of 4.08 cases per 1,000 ventilator-days to 1.16 cases per 1,000 ventilator-days. The incidence density ratio (rate) was 0.28 (95% confidence interval, 0.275-0.292). Conclusions Implementing the appropriate VAP bundle significantly decreased the incidence of VAP in patients with mechanical ventilation.",

keywords = "Infection control, Intensive care units, Lung diseases",

author = "Eom, {Joong Sik} and Lee, {Mi Suk} and Chun, {Hee Kyung} and Choi, {Hee Jung} and Jung, {Sun Young} and Kim, {Yeon Sook} and Yoon, {Seon Jin} and Kwak, {Yee Gyung} and Oh, {Gang Bok} and Jeon, {Min Hyok} and Park, {Sun Young} and Koo, {Hyun Sook} and Ju, {Young Su} and Lee, {Jin Seo}",

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doi = "10.1016/j.ajic.2013.06.023",

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AU - Eom, Joong Sik

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AU - Chun, Hee Kyung

AU - Choi, Hee Jung

AU - Jung, Sun Young

AU - Kim, Yeon Sook

AU - Yoon, Seon Jin

AU - Kwak, Yee Gyung

AU - Oh, Gang Bok

AU - Jeon, Min Hyok

AU - Park, Sun Young

AU - Koo, Hyun Sook

AU - Ju, Young Su

AU - Lee, Jin Seo

N1 - Funding Information: This study was supported by the Korean Centers for Disease Control and Prevention .

PY - 2014/1

Y1 - 2014/1

N2 - Background For prevention of ventilator-associated pneumonia (VAP), a bundle approach was applied to patients receiving mechanical ventilation in intensive care units. The incidence of VAP and the preventive efficacy of the VAP bundle were investigated. Methods A quasi-experimental study was conducted in adult intensive care units of 6 university hospitals with similar VAP rates. We implemented the VAP bundle between March 2011 and June 2011, then compared the rate of VAP after implementation of the VAP bundle with the rate in the previous 8 months. Our ventilator bundle included head of bed elevation, peptic ulcer disease prophylaxis, deep venous thrombosis prophylaxis, and oral decontamination with chlorhexidine 0.12%. Continuous aspiration of subglottic secretions was an option. Results Implementation of the VAP bundle reduced the VAP rate from a mean of 4.08 cases per 1,000 ventilator-days to 1.16 cases per 1,000 ventilator-days. The incidence density ratio (rate) was 0.28 (95% confidence interval, 0.275-0.292). Conclusions Implementing the appropriate VAP bundle significantly decreased the incidence of VAP in patients with mechanical ventilation.

AB - Background For prevention of ventilator-associated pneumonia (VAP), a bundle approach was applied to patients receiving mechanical ventilation in intensive care units. The incidence of VAP and the preventive efficacy of the VAP bundle were investigated. Methods A quasi-experimental study was conducted in adult intensive care units of 6 university hospitals with similar VAP rates. We implemented the VAP bundle between March 2011 and June 2011, then compared the rate of VAP after implementation of the VAP bundle with the rate in the previous 8 months. Our ventilator bundle included head of bed elevation, peptic ulcer disease prophylaxis, deep venous thrombosis prophylaxis, and oral decontamination with chlorhexidine 0.12%. Continuous aspiration of subglottic secretions was an option. Results Implementation of the VAP bundle reduced the VAP rate from a mean of 4.08 cases per 1,000 ventilator-days to 1.16 cases per 1,000 ventilator-days. The incidence density ratio (rate) was 0.28 (95% confidence interval, 0.275-0.292). Conclusions Implementing the appropriate VAP bundle significantly decreased the incidence of VAP in patients with mechanical ventilation.

KW - Infection control

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The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study

Abstract

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Keywords

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