Education to prevent ventilator-associated pneumonia in intensive care unit

Rev Bras Enferm. 2020;73(6):e20190477. doi: 10.1590/0034-7167-2019-0477. Epub 2020 Aug 14.
[Article in Portuguese, English]

Abstract

Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education.

Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals.

Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day.

Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Critical Care / methods
  • Critical Care / standards*
  • Critical Care Nursing / standards*
  • Education, Nursing, Continuing / methods*
  • Educational Measurement
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Humans
  • Incidence
  • Infection Control / methods*
  • Intensive Care Units / organization & administration
  • Intensive Care Units / standards*
  • Male
  • Middle Aged
  • Oral Hygiene
  • Patient Safety
  • Pneumonia, Ventilator-Associated / prevention & control*
  • Program Evaluation
  • Quality Improvement / organization & administration*
  • Retrospective Studies
  • Treatment Outcome