Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals: 2014 Update

被引:206
作者
Klompas, Michael [1 ,2 ,3 ]
Branson, Richard [4 ]
Eichenwald, Eric C. [5 ]
Greene, Linda R. [6 ]
Howell, Michael D. [7 ]
Lee, Grace [1 ,2 ,8 ]
Magill, Shelley S. [9 ]
Maragakis, Lisa L. [10 ]
Priebe, Gregory P. [3 ,8 ,11 ]
Speck, Kathleen [12 ]
Yokoe, Deborah S. [3 ]
Berenholtz, Sean M. [12 ,13 ,14 ]
机构
[1] Harvard Univ, Sch Med, Dept Populat Med, Boston, MA 02215 USA
[2] Harvard Pilgrim Hlth Care Inst, Boston, MA 02215 USA
[3] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA
[4] Univ Cincinnati, Dept Surg, Cincinnati, OH 45221 USA
[5] Univ Texas Med Sch Houston, Div Neonatal Perinatal Med, Houston, TX USA
[6] Univ Rochester, Highland Hosp, Med Ctr Affiliate, Rochester, NY USA
[7] Univ Chicago, Dept Med, Chicago, IL 60637 USA
[8] Boston Childrens Hosp, Dept Med, Boston, MA USA
[9] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA USA
[10] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
[11] Boston Childrens Hosp, Dept Anesthesiol Perioperat & Pain Med, Boston, MA USA
[12] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21205 USA
[13] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21205 USA
[14] Johns Hopkins Univ, Dept Hlth Policy & Management, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA
关键词
CRITICALLY-ILL PATIENTS; SUBGLOTTIC SECRETION DRAINAGE; STRESS-ULCER PROPHYLAXIS; RECEIVING MECHANICAL VENTILATION; POSITIVE-PRESSURE VENTILATION; SACCHAROMYCES-CEREVISIAE FUNGEMIA; HYPOXEMIC RESPIRATORY-FAILURE; RANDOMIZED CONTROLLED-TRIALS; CLOSED ENDOTRACHEAL SUCTION; ACUTE LUNG INJURY;
D O I
10.1086/677144
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format to assist acute care hospitals in implementing and prioritizing strategies to prevent ventilator-associated pneumonia (VAP) and other ventilator-associated events (VAEs) and to improve outcomes for mechanically ventilated adults, children, and neonates. This document updates "Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals," published in 2008.1 This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.2 © 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.
引用
收藏
页码:915 / 936
页数:22
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