Adherence to the ventilator-associated pneumonia prevention Bundle
DOI:
https://doi.org/10.15649/cuidarte.v10i2.746Keywords:
Intensive Care Units, Pneumonia, Ventilator-Associated, Delivery of Health Care, NursingAbstract
Introduction: To evaluate adherence and fulfillment of the care practices that make up the ventilator-associated pneumonia prevention bundle in an Adult Intensive Care Unit. Materials and Methods: A prospective descriptive study was conducted in patients receiving mechanical ventilation who were hospitalized in the Intensive Care Unit of a Public Healthcare Institution between October and November 2017. The sampling was non-probability type corresponding to the observation of caring practices making up the Protocol in Ventilator-Associated Pneumonia Prevention Bundle. Results: 30 patients receiving mechanical ventilation were observed for 44 days, making 2002 observations in total. During the study period, 3 (50%) of the practices remained above 80% of adherence, demonstrating the importance of monitoring the care practices included in the bundle. Discussion and Conclusions: It was observed that the fulfillment of some practices is below expectations, which demonstrates the need for educational strategies that promote the quality of all care practices.
Como citar este artigo: Barros FRB. Adesão ao bundle de prevenção de pneumonia associada à ventilação mecânica. Rev Cuid. 2019; 10(2): e746. http://dx.doi.org/10.15649/cuidarte.v10i2.746
References
Silva SG, Salles RK, Nascimento ERP, Bertocello KCG, Cavalcanti CDK. Avaliação de um bundle de prevenção da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Texto & Contexto Enfermagem. 2014; 23(3): 744-50. http://dx.doi.org/10.1590/0104-07072014002550013
Sachetti A, Rech V, Dias AS, Fontana C, Barbosa GDL, Schlichting. Adesão às medidas de um bundle para prevenção de pneumonia associada à ventilação mecânica. Revista Brasileira de Terapia Intensiva. 2014; 26(4): 355-9. http://dx.doi.org/10.5935/0103-507X.20140054
Rodrigues AN, Fragoso LVC, Beserra FM, Ramos IC. Determining impacts and factors in ventilator-associated pneumonia bundle. Rev Bras Enferm. 2016; 69(6): 1045-51. https://doi.org/10.1590/0034-7167-2016-0253
Mota EC, Oliveira SP, Silveira BRM, Silva PLN, Oliveira AC. Incidência da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Medicina Ribeirão Preto. 2017; 50(1): 39-46. http://dx.doi.org/10.1590/0034-7167-2016-0253
Mishra SB, Azim A, Muzzafar SN. Prevention of ventilator-associated pneumonia and ventilator-associated conditions. Critical Care Medicine. 2015; 43(11): 527-34. https://doi.org/10.1097/CCM.0000000000001184
Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB, et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Disease Society of America and the American Thoracic Society. Clin Infect Dis. 2016; 63(3): 61-111. https://doi.org/10.1093/cid/ciw504
American Thoracic Society/Infections Diseases Society of America (ATS/IDSA). How-toguide: prevent ventilator associated pneumonia. Cambridge, MA: Institute for Health Care Improvement; 2012.
American Thoracic Society & Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005; 171(4): 388-416. https://doi.org/10.1164/rccm.200405-644ST
Silva HG. Protocolo de Enfermagem na Prevenção da Pneumonia Associada ao Ventilador: Comparação de Efeitos/ Hamanda Garcia da Silva- Niteroi: [Sn], 2010.
Saupe H, Horr L. Auditoria em enfermagem. Revista Ciên Saúde. 1982; 1(1): 23. http://dx.doi.org/10.1590/0034-716719780004000005
Baggio L, Machado AS, Caberlon CF, Junior LAF, Schuster RC. Bundles para prevenção da pneumonia associada à ventilação mecânica. Revista Inspirar Movimento & Saúde. 2016;8(1): 4-9.
Chicayban LM, Terra ELVS, Ribela JS, Barbosa PF. Bundles de prevenção de pneumonia associada à ventilação mecânica: a importância da multidisciplinaridade. Biológicas & Saúde. 2017; 25(7): 25-35. https://doi.org/10.25242/886872520171200
Almeida KMV, Barros OMC, Santos GJC, Valença MP, Cavalcanti ATA, Ferreira KO. Adesão às medidas de prevenção para pneumonia associada à ventilação mecânica. Rev Enferm UFSM. 2015; 5(2):247-256. http://dx.doi.org/10.5902/2179769215411
Khan R, Al-Dorzi HM, Al-Attas K, Ahmed FW, Marini AM, Mundekkadan S et al. The impact of implementing multifaceted interventions on the prevention of ventilator-associated pneumonia. American Journal of Infection Control. 2016; 44(3): 320-6. https://doi.org/10.1016/j.ajic.2015.09.025
Mansano FPN, Belei RA, Vinci LAS, de Melo BLD, Cardoso LTQ, Garcia JCP et al. Impacto de ação educativa na manutenção do decúbito elevado como medida preventiva de pneumonia associada à ventilação mecânica em Unidade de Terapia Intensiva. ABCS Health Sciences. 2017; 42(1): 21-6. http://dx.doi.org/10.7322/abcshs.v42i1.945
Ferreira EG, Kimura A., de Ramos DF, de Albuquerque PL, Antunes MD, de Oliveira DV. Prevalência de pneumonia associada à ventilação mecânica por meio de análise das secreções traqueobrônquicas. Northeast Network Nursing Journal. 2017; 18(1): 140-20. http://dx.doi.org/10.15253/2175-6783.2017000100016
Marra AR, Cal RGR, Silva CV, Caserta RA, Paes AT, Moura DF et al. Successful prevention of ventilator-associated pneumonia in an intensive care setting. American Journal of Infection Control. 2009; 37(8): 619-25. https://doi.org/10.1016/j.ajic.2009.03.009
Leal GA, Ribeiro JB, dos Santos JJ, Cavalcante AB. Cuidados de enfermagem para prevenção da pneumonia associada à ventilação mecânica em unidades de terapia intensiva: uma revisão literária. Ciências Biológicas e de Saúde Unit. 2017;4(1): 95-108.
Published
How to Cite
Issue
Section
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
