INTRODUCTION: Ventilator-associated pneumonia (VAP) is a nosocomial infection that can develop in patients receiving mechanical ventilator (MV) support. In this study, we aim to investigate how increased compliance with VAP prevention bundle training for health personnel affects the incidence of VAP, the onset day of VAP, the duration of mechanical ventilation, and mortality rates.
METHODS: In this study, the study group (VAP prevention bundle group after healthcare staff training) included 68 patients who received MV support. The control group consisted of 100 patients who received the VAP prevention bundle between January 2016 and June 2017 in the anaesthesia ICU.The Centers for Disease Control and Prevention (CDC) criteria were used for the diagnosis of VAP. In both groups, compliance with the Prevention Bundle, the incidence of VAP, the onset day of VAP, the duration of mechanical ventilation, the day of tracheostomy operation and mortality rates were recorded.Patient groups were compared statistically.
RESULTS: ETT cuff pressure of 2025 cm H2O was maintained at 97.96% in the VAP Prevention Bundle group and at 93.13% in the control group (p = 0.01). In our study, VAP was detected in 12 patients (17.6%) in the study group and 9 patients (9%) in the control group.The carrying out the VAP prevention bundle to the patients with mechanical ventilatory support reduced the mortality rates.
DISCUSSION AND CONCLUSION: Implementation of the VAP prevention bundle group did not decrease the incidence of VAP in our clinic.We think that the present VAP prevention bundle should be revised in the way of use of stress ulcer prophylaxis.