投稿分類 其他

主委發表種類: 口頭

投稿標題(中): 某醫學中心運用組合式照護措施降低呼吸器相關肺炎之成效

投稿標題(英): Efficacy of Ventilator-associated Pneumonia Care Bundle for Prevention of Ventilator-associated Pneumonia in the Surgical Intensive Care Units of a Medical Center

投稿摘要: Ventilator-associated pneumonia (VAP) is one of the serious treatment related infections resulting in high mortalities and costs. Our hospital has implemented bundle care in the intensive care units (ICUs) with special focus on VAP prevention. This is a retrospective study to evaluate its efficacy. teamwork was involved in this bundle care. This study analyses the ventilator utilization and VAP density between Jan 2006 and Mar 2013 to assess the VAP bundle impact in a clinical
We implemented a 6 item-VAP care bundle modified from that of the Institute of Healthcare Improvement (IHI) at five surgical ICUs (SICUs). A multidisciplinary setting.
Patients from the post-VAP phase tended to be older (p=0.024) and with shorter SICU stay (p=0.006). In the response to this VAP bundle interventions, the ventilator utilization was seen significantly decreased, from 1148.5 ventilator-days to 956.1 ventilator-days (p＜0.001) monthly; the VAP density had remarkably decreased from 3.3 to 1.4 cases per 1000 ventilator-days (p＜0.001).

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