Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization

Basit Öğe Kaydı
dc.authoridErsoy, Yasemin/0000-0001-5730-6682
dc.authoridAkdogan, Özlem/0000-0003-2969-474X
dc.authoridGedik, Ender/0000-0002-7175-207X
dc.authoridmemişoğlu, funda/0000-0003-3905-1182
dc.authorwosidErsoy, Yasemin/AAE-4811-2020
dc.authorwosidAkdogan, Özlem/ADK-3714-2022
dc.authorwosidGedik, Ender/ABI-2971-2020
dc.authorwosidmemişoğlu, funda/AAA-4392-2021
dc.contributor.authorAkdogan, Ozlem
dc.contributor.authorErsoy, Yasemin
dc.contributor.authorKuzucu, Cigdem
dc.contributor.authorGedik, Ender
dc.contributor.authorTogal, Turkan
dc.contributor.authorYetkin, Funda
dc.date.accessioned2024-08-04T20:43:03Z
dc.date.available2024-08-04T20:43:03Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe effectiveness of prevention bundles on the occurrence and mortality of ventilator associated pneumonia (VAP) was evaluated in many studies. However, the effectiveness of endotracheal tube with subglottic secretion drainage (ETT-SD) and cuff pressure monitorization in VAP bundles have not been adequately assessed. In this study, we aimed to evaluate the effectiveness of VAP bundle containing ETT-SD and cuff pressure monitorization. This was a prospective, controlled study that was carried out between March 2011 and April 2012 including intubated patients. The study was conducted at the Anesthesiology Intensive Care Unit 1 and 2 (10 beds each) in a 898-bed university hospital. Occurrence of VAP and compliance with the parameters of the VAP prevention bundles were assessed daily. Patients intubated with the standard endotracheal tube were recruited as controls, mainly in the first six months of the study as ETT-SD and cuff pressure monometer had not yet been implemented. In the second term, patients intubated with ETT-SD were included as cases. Occurrence of VAP, mortality, and compliance with VAP prevention bundles were monitored. A total of 133 patients, 37 cases and 96 controls were recruited. VAP incidence declined from 40.82 to 22.16 per 1000 ventilator days among controls and cases, respectively (p < 005). On average, VAP occurred 17.33 +/- 21.09 days in the case group and 10.43 +/- 7.83 days in the control group (p = 0.04). However, mortality of cases and controls at the 14th and 30th days was not different. VAP prevention bundles including the utilization of ETT-SD, monitoring cuff pressure, and oral care with chlorhexidine were efficient in reducing the rate of VAP. (C) 2017 Sociedade Brasileira de Infectologia. Published by Elsevier Editora Ltda.en_US
dc.description.sponsorshipInonu University Scientific Research Projects Unit [2011/56]en_US
dc.description.sponsorshipThis study was supported by Inonu University Scientific Research Projects Unit [project number: 2011/56].en_US
dc.identifier.doi10.1016/j.bjid.2017.01.002
dc.identifier.endpage281en_US
dc.identifier.issn1413-8670
dc.identifier.issn1678-4391
dc.identifier.issue3en_US
dc.identifier.pmid28193455en_US
dc.identifier.scopus2-s2.0-85016176481en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage276en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjid.2017.01.002
dc.identifier.urihttps://hdl.handle.net/11616/97759
dc.identifier.volume21en_US
dc.identifier.wosWOS:000404453600010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Brazilen_US
dc.relation.ispartofBrazilian Journal of Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectVentilator associated pneumoniaen_US
dc.subjectVAP prevention bundlesen_US
dc.subjectSubglottic secretion drainageen_US
dc.subjectCuff pressure monitorizationaen_US
dc.titleAssessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorizationen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu