Near-zero ventilator-associated pneumonia rates after implementation of a multimodal preventive strategy in a Mexican hospital

Am J Infect Control. 2020 Apr;48(4):446-447. doi: 10.1016/j.ajic.2019.09.018. Epub 2019 Oct 31.

Abstract

A multimodal preventive strategy consisting of a ventilator-associated pneumonia (VAP) preventive bundle plus 3 additional sequential interventions (noninvasive ventilation, reeducation of health care workers, and early weaning) was associated with a marked reduction in VAP rates in a Latin American hospital, including 6 consecutive months without VAP cases. A positive association between the percentage of intubated patients and VAP rates was observed.

Keywords: Education; Noninvasive ventilation; Patient care bundle; Ventilator weaning.

MeSH terms

  • Humans
  • Infection Control / methods*
  • Intensive Care Units
  • Mexico / epidemiology
  • Patient Care Bundles*
  • Pneumonia, Ventilator-Associated / prevention & control*
  • Respiration, Artificial