Reducing incidence rate of ventilator-associated pneumonia (VAP) using prevention bundle in the ICU

Abstract

Ventilator-Associated Pneumonia (VAP) is the most prevalent healthcare-associated infections in Intensive Care Units (ICU). In decreasing its incidence, a VAP prevention bundle as one of infection control methods had been applied to the ventilated patients. This study aimed to determine the correlation between the use of the VAP prevention bundle and the incidence rate of VAP in the ICU at a regional general hospital. A cross-sectional study was done using surveillance data of the VAP prevention bundle implementation checklist from the infection control committee. The samples were chosen using a stratified random sampling method. They were selected from two ICU wards according to the inclusion and exclusion criteria from January to June 2019 (n: 189). Furthermore, every seven bundles and the incidence rate of VAP were scored and observed. The result showed that there were ten incidences of VAP with a mean of 3.7‰. The highest rate was found in May as 9.8‰ while the standard was less than 5.8‰. Descriptive results showed that 6 of 7 bundles were the highest total scores in 34.9% samples with oral hygiene as a bundle item at most frequently listed in 98.4% patients. Logistic regression also pointed out a significant correlation (p<0.05) between the use of the VAP prevention bundle and the incidence rate of VAP. Therefore, there was a significant correlation between the use of VAP prevention bundles and the incidence rate of VAP for ventilated patients in the ICU room. Thus, each VAP prevention bundle must be carried out entirely to affect the incidence rate of VAP.

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