Effect of improving compliance in bundle of preventive measures on the incidence of ventilator-associated pneumonia in critical patients
Zhu Zhijing
Guo Litao
Liu Yu
Zhang Lei
Zhang Xiaolin
Lei Shuxia
Li Wen
Wang Shan
Ma Hongye
Sun Jingjing
Abstract：Objective To observe the effect of improving compliance in bundle of preventive measures on the incidence of ventilator-associated pneumonia(VAP) in critical patients.Methods A prospective study was conducted in critical patients undergoing mechanical ventilation (MV) in intensive care unit (ICU) of the First Affiliated Hospital of Xi'an Jiaotong University from January 2016 to December 2017.Application effect of ventilator bundle of preventive measures in 2016 was reviewed to find out problems.Strategies and countermeasures to improve the compliance of patients were performed in 2017.Annual incidence of VAP was indicated by the VAP cases per 1 000 MV days.Results A total of 355 ICU patients had MV during 2016 to 2017 (187 eases in 2016 and 168 cases in 2017);the baseline data were similar between patients of 2016 and 2017(P ＞0.05).Compared with that in 2016,the compliance of each measure in ventilator bundle was significantly improved in 2017 (P ＜ 0.01).Incidence of VAP was 8.21 cases per 1 000 MV days in 2016 and that droped to 3.83 in 2017,showing a significant difference (P =0.040).Conclusion Improving the compliance of ventilator bundle can effectively reduce the incidence of VAP.
Keywords：Ventilator-associated pneumoniaBundle of preventive measuresCompliance
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 529-532 )