A European care bundle for prevention of ventilator-associated pneumonia

被引：224

作者：

Rello, Jordi ^{[1
]}

Lode, Hartmut ^{[2
]}

Cornaglia, Giuseppe ^{[3
]}

Masterton, Robert ^{[4
]}

机构：

[1] UAB, Crit Care Dept, Vall Hebron Univ Hosp, Inst Recerca Vall Hebron,CIBERES, Barcelona 08035, Spain

[2] Acad Teaching Hosp Charite, Heliosklinikum Emil van Behring, Dept Chest & Infect Dis, Berlin, Germany

[3] Univ Verona, Dept Pathol, I-37100 Verona, Italy

[4] Ayr Hosp, Ayrshire & Arran Natl Hlth Serv Board, Glasgow, Lanark, Scotland

来源：

INTENSIVE CARE MEDICINE | 2010年 / 36卷 / 05期

关键词：

Ventilator-associated pneumonia; Care bundles; Prevention; HOSPITAL-ACQUIRED PNEUMONIA; GRAM-NEGATIVE RODS; MECHANICAL VENTILATION; CIRCUIT CHANGES; HAND CARRIAGE; SEVERE SEPSIS; PROGRAM; GUIDELINES; QUALITY; RATES;

D O I：

10.1007/s00134-010-1841-5

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

One recent approach to facilitating guideline implementation involves the use of care bundles. This document presents a care bundle package addressing VAP prevention in an attempt to promote guideline-compliant practices. Uniquely, the development of these care bundles used a formalised methodology to assess the supporting data, based on multi-criteria decision analysis. The resulting VAP care bundles for prevention were: non-ventilatory circuit changes unless specifically indicated, alcohol hand hygiene, appropriately educated and trained staff, incorporation of sedation control and weaning protocols into patient care, and oral care with clorhexidine. Adoption of these care bundles should rationalise VAP prevention practises and improve outcomes, such as length of stay.

引用

页码：773 / 780

页数：8

共 47 条

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HAND CARRIAGE OF AEROBIC GRAM-NEGATIVE RODS BY HEALTH-CARE PERSONNEL [J].