2.50
Hdl Handle:
http://hdl.handle.net/10755/182589
Category:
Abstract
Type:
Presentation
Title:
Magnet Nurses Shine: Brushing Ventilator Associated Pneumonia Away
Author(s):
Schallom, Lynn
Author Details:
Lynn Schallom, RN, MSN, CCRN, CCNS, Barnes Jewish Hospital, St. Louis, Missouri, USA, email: mes4143@bjc.org
Abstract:
Poster Presentation: Ventilator-associated pneumonia (VAP) is a common hospital-acquired infection and is a leading cause of morbidity and mortality in intensive care units (ICUs) with an estimated attributable mortality rate that ranges from 12-50% (1-10). Approximately 9% of mechanically ventilated patients develop VAP (4). This potentially fatal complication of mechanical ventilation can increase patient's length of stay (LOS) up to 13 days and is estimated to cost $10,000-40,000 per infection (1,6,11,12). Decreasing nosocomial infections is a primary goal in ICU's across the country. The 2003 CDC Guidelines for Preventing Health-Care-Associated Pneumonia (HAP) recommendations focus on strategies to decrease VAP (6). These best practice guidelines have been previously implemented in our ICU and our education initiatives that led to a decreased VAP rate of 5.2 infections per 1000 ventilator days have been published (13). To decrease VAP rates even further, the Surgical Intensive Care Unit (SICU) quality improvement team identified oral care practices in our unit as an area for improvement. Many expensive oral care products are available on the market. We chose to implement a simple, low-cost oral care protocol involving cleaning the patients' teeth with floor stock paste and brush, rinsing with tap water and subsequent application of a 0.12% chlorhexidine gluconate chemical solution done twice daily at twelve hour intervals in our twenty-four bed surgical/ trauma/ burn ICU. This protocol resulted in a decrease in our VAP rate to 2.4 infections per 1000 ventilator days. (p=0.04). REFERENCES: 1. Safdar N, Dezfulian C, Collard HR, et al: Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Critical Care Medicine 2005;33:2184-2193. 2. Collard HR, Saint S. AHRQ Publication No. 01-E058. Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001. Available at www.ahcpr.gov/clinci/ptsafety/chap17a.htm. 3. Byers J, Sole ML: Analysis of factors related to the development of ventilator-associated pneumonia: use of existing databases. American Journal of Critical Care 2000; 9:344-351. 4. American Thoracic Society Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia. Am Journal of Resp and Crit Care 2005;171:388-416. 5. Rello J, Ollendorf DA, Oster G, et al: Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest 2002; 122; 2115-2121. 6. Tablan OC, Anderson LJ, Besser R, et al: Guidelines for preventing health-care associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2004; 53:1-36. 7. Craig CP, Connelly S. Effect of intensive care unit nosocomial pneumonia on duration of stay and mortality. Am J Infect Control 1984; 12(4):233-238. 8. Leu HS, Kaiser DL, Mori M, et al: Hospital-acquired pneumonia. Attributable mortality and morbidity. Am J Epidemiol 1989; 129(6):1258-1267. 9. Rello J, Ausina V, Ricart M, et al: Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia. Chest 1993; 104(4):1230-1235. 10. Heyland DK, Cook DJ, Griffith L, et al: The attributable morbidity and mortality of ventilator-associated pneumonia in the critically ill patient. The Canadian Critical Trials Group. Am J Respir Crit Care Med 1999; 159: 1249-1256 11. Warren DK, Shukla SJ, Olsen MA, et al: Outcome and attributable cost of ventilator-associated pneumonia among...[Please contact the primary investigator for additional references.]
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMagnet Nurses Shine: Brushing Ventilator Associated Pneumonia Awayen_GB
dc.contributor.authorSchallom, Lynnen_US
dc.author.detailsLynn Schallom, RN, MSN, CCRN, CCNS, Barnes Jewish Hospital, St. Louis, Missouri, USA, email: mes4143@bjc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182589-
dc.description.abstractPoster Presentation: Ventilator-associated pneumonia (VAP) is a common hospital-acquired infection and is a leading cause of morbidity and mortality in intensive care units (ICUs) with an estimated attributable mortality rate that ranges from 12-50% (1-10). Approximately 9% of mechanically ventilated patients develop VAP (4). This potentially fatal complication of mechanical ventilation can increase patient's length of stay (LOS) up to 13 days and is estimated to cost $10,000-40,000 per infection (1,6,11,12). Decreasing nosocomial infections is a primary goal in ICU's across the country. The 2003 CDC Guidelines for Preventing Health-Care-Associated Pneumonia (HAP) recommendations focus on strategies to decrease VAP (6). These best practice guidelines have been previously implemented in our ICU and our education initiatives that led to a decreased VAP rate of 5.2 infections per 1000 ventilator days have been published (13). To decrease VAP rates even further, the Surgical Intensive Care Unit (SICU) quality improvement team identified oral care practices in our unit as an area for improvement. Many expensive oral care products are available on the market. We chose to implement a simple, low-cost oral care protocol involving cleaning the patients' teeth with floor stock paste and brush, rinsing with tap water and subsequent application of a 0.12% chlorhexidine gluconate chemical solution done twice daily at twelve hour intervals in our twenty-four bed surgical/ trauma/ burn ICU. This protocol resulted in a decrease in our VAP rate to 2.4 infections per 1000 ventilator days. (p=0.04). REFERENCES: 1. Safdar N, Dezfulian C, Collard HR, et al: Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Critical Care Medicine 2005;33:2184-2193. 2. Collard HR, Saint S. AHRQ Publication No. 01-E058. Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001. Available at www.ahcpr.gov/clinci/ptsafety/chap17a.htm. 3. Byers J, Sole ML: Analysis of factors related to the development of ventilator-associated pneumonia: use of existing databases. American Journal of Critical Care 2000; 9:344-351. 4. American Thoracic Society Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia. Am Journal of Resp and Crit Care 2005;171:388-416. 5. Rello J, Ollendorf DA, Oster G, et al: Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest 2002; 122; 2115-2121. 6. Tablan OC, Anderson LJ, Besser R, et al: Guidelines for preventing health-care associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2004; 53:1-36. 7. Craig CP, Connelly S. Effect of intensive care unit nosocomial pneumonia on duration of stay and mortality. Am J Infect Control 1984; 12(4):233-238. 8. Leu HS, Kaiser DL, Mori M, et al: Hospital-acquired pneumonia. Attributable mortality and morbidity. Am J Epidemiol 1989; 129(6):1258-1267. 9. Rello J, Ausina V, Ricart M, et al: Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia. Chest 1993; 104(4):1230-1235. 10. Heyland DK, Cook DJ, Griffith L, et al: The attributable morbidity and mortality of ventilator-associated pneumonia in the critically ill patient. The Canadian Critical Trials Group. Am J Respir Crit Care Med 1999; 159: 1249-1256 11. Warren DK, Shukla SJ, Olsen MA, et al: Outcome and attributable cost of ventilator-associated pneumonia among...[Please contact the primary investigator for additional references.]en_GB
dc.date.available2011-10-28T15:30:59Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:30:59Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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