Decreasing ventilator-associated pneumonia in a trauma ICU

摘要: Background: The incidence of ventilator-associated pneumonia ranges from 10 to 25%, with mortality 40%. It prolongs hospital stay and drives up costs. Our Intensive Care Unit (ICU) (VAP) rates were hovering at the National Nosocomial Infection Surveillance (NNIS) 90th percentile (22.3-32.7 infections per 1,000 ventilator days January 2002 through October 2002) necessitating a performance improvement initiative designed decrease VAP. Methods: A bundle that incorporates Center for Disease Control (CDC) Guidelines Prevention Pneumonia was instituted in June 2002. In 2002, an intervention audited compliance provided real-time feedback ICU staff started. VAP followed using NNIS criteria. Costs evaluated TSI data. Results: did not institution alone. However, significantly when daily weekly caregivers. From November 2003 stayed between 0 12.8 days. average cost $50,000. Conclusions: requires concerted effort on part administration, physicians, personnel. program must be evidence-based, maintained, accepted by Continued education are crucial maintaining low rate.