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Órgano Oficial del Instituto Nacional de Pediatría
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2016, Number 6

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Acta Pediatr Mex 2016; 37 (6)

Pilot study, VAP prevention using a bundle in the Intensive Care Unit

Hernández-Orozco HG, Castañeda-Narváez JL, Lucas-Reséndiz ME, Rosas-Ruiz A, Aparicio-Santiago GL, Zárate-Castañón P, Camacho-Soto SA
Full text How to cite this article

Language: Spanish
References: 7
Page: 322-327
PDF size: 503.29 Kb.


Key words:

ventilator-associated pneumonia, VAP, bundles testing, prevention, pediatrics, effective prevention.

ABSTRACT

Introduction: Use of verification bundles an effective strategy for the prevention of ventilator-associated pneumonia (VAP).
Objetive: To determine the feasibility and benefits of applying a verification bundles to prevent VAP.
Methods: Cross, ambispective pilot study from 2011 to 2013 determining the rate of ventilator-associated pneumonia per 1,000 ventilator-days in that period and applying from 2012 a package of verification to prevent VAP in children with mechanical ventilation in the pediatric intensive care unit.
Results: Compliance with the parameters evaluated by VAP prevention verification package implemented in 2012 was 66% to 100%, resulting in a decrease in the incidence of VAP of 47% in the period 2011-2012 and 69% 2013, presenting rates VAP of 13.85, 7.29 and 4.3 pneumonias per 1,000 ventilator-days respectively.
Conclusions: The use of verification package for prevention of pneumonia is applicable and effective in reducing rates of VAP. This involves the commitment and multidisciplinary work of the whole service and a program to carry out this strategy of prevention to infections; the plan is implement this strategy in all intensive care units of the institution.


REFERENCES

  1. Dudeck MA, Weiner LM, Allen-Bridson K, Malpiedi PJ, Peterson KD, Pollock DA, Sievert DM, Edwars JR. National Healthcare safety Network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control. 2013;41:1148-66.

  2. July 2013 CDC/NHSN protocol corrections, clarification, and additions. DCD/NHSN definitions of healthcare-associated infections and criteria for type of specific infection in the care setting. Disponible en: http://www.cdc.gov/nhsn/ pdfs/validation/2013/pscmanual_july2013.pdf Accesado: enero 2016

  3. Resar R, Griffin FA, Haraden C, Nolan TW, Using Care bundles to improve health care quality. IHI innovation series White paper. Canbridge, Massachusetts: Institute of Healthcare Improvement; 2012, p. 1-14. (Available on www.IHI.org).

  4. Elward AM, Warren DK, Fraser VJ. Ventilator associated pneumonia in pediatric intensive care unit: riskfactors and outcomes. Pediatrics. 2002;109(5):758-64.

  5. Munro N, Ruggiero M. Ventilator –associated pneumonia bundle. AACN Adv Crit Care. 2014;25(2):163-75.

  6. Calvo MA, Delpiano LM, Chacón EV, Jemenao PI, Peña DA, Zambrano GA. Actualización consenso neumonía asociada a ventilación mecánica. Segunda parte. Prevención. Rev Chil Infect. 2011;28(4):316-32.

  7. Bigham MT, Amato R, Bondurrat P, Fridriksson J, Krawczeski CD, et al. Ventilator-Associated Pneumonia in the Pediatric Intensive Care Unit: Characterizing the Problem and Implementing a Sustainable Solution. J Pediatrics. 2009;154(4):582-587e2.




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Acta Pediatr Mex. 2016;37