投稿分類 感控監測

主委發表種類: 口頭

投稿標題(中): 南部某醫學中心加護病房呼吸器相關肺炎組合式照護推動經驗

投稿標題(英): Use of VAP Bundle to Prevent Ventilator-Associated Pneumonia in a Medical Center in Southern Taiwan

投稿摘要: Although preventable, ventilator-associated pneumonia (VAP) is a main cause of death due to nosocomial infections in the intensive care units (ICUs). This study was conducted in six ICU from April 2014 to July 2015. A multidisciplinary ventilator bundle team was established during the study period. The bundle checklist included maintaining a 30-45° head elevation, daily sedation break and assessment of readiness to extubate, oral hygiene care, and discharging of excess water from pipeline. The results showed the ventilator bundle compliance rate increased from 50% to 96%. In addition, establishing automatic screening and reminders, and mouth gauze containing Chlorhexidine improved the compliance rate. 15 months after implementation, VAP incidence decreased from 2.4 to 0.8 per 1,000 ventilator days (p＜0.05). We documented duration of mechanical ventilation (from 7 to 4.8 days). Our results show that implementation of ventilator bundles can reduce VAP incidence.

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