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Impact of the nursing cares on the incidence of invasive mechanical ventilation associated pneumonia.
MedLine Citation:
PMID:  21237685     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Training health care professionals on preventive measures of ventilator-associated pneumonia (VAP) reduces the incidence of this serious adverse effect. OBJECTIVES: To evaluate the effectiveness of the non-pharmacological, VAP preventive program by comparing the incidence of VAP in two periods: pre- and post- training of the nursing staff of the intensive care unit (ICU). MATERIAL AND METHODS: A comparative, observational study on the incidence of VAP and related-risk factors. Two prevalence cutoffs were used: prior to training (from October 2007 to June 2008) and post-training (from October 2008 to April 2009). The statistical analysis was performed with the SPSS v.15 statistical program, t-test or Mann-Whitney test for continuous variables and Chi-square or Fisher test for qualitative variables. RESULTS: A total of 69 patients were included in the pre-training period and 71 in the post-training. Age and gender percentages were similar in both groups. There was a greater number of risk factor for VAP in the pre-training period that was statistically significant only in the case of diabetes (27.5% versus 8.4%; P=.004). There were no differences regarding the treatment administered to both groups or number of days in ICU or mechanical ventilation (MV) days. Decreased rate of 6.01 to 1.91 VAP/1.000 ventilator days in the post-training period. CONCLUSIONS: Preventive measures reduced the incidence of VAP in two samples of patients comparable in terms of risk factors. Nursing education is directly related to the results in patient safety.
Authors:
M Raurell Torredà
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-13
Journal Detail:
Title:  Enfermeria intensiva / Sociedad Espanola de Enfermeria Intensiva y Unidades Coronarias     Volume:  -     ISSN:  1578-1291     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9517771     Medline TA:  Enferm Intensiva     Country:  -    
Other Details:
Languages:  SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 Elsevier España, S.L. y SEEIUC. All rights reserved.
Affiliation:
Servicio de Medicina Intensiva, Consorcio Hospitalario de Vic, Vic, Barcelona, Profesora departamento de enfermería Universidad de Girona, España.
Vernacular Title:
Impacto de los cuidados de enfermería en la incidencia de neumonía asociada a la ventilación mecánica invasiva.
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