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Ventilator-associated pneumonia and oral care : A successful quality improvement project [Article de Revue]

 
[Pneumonie associée à la ventilation et soin de bouche : un projet d'amélioration de la qualité réussi]
HUTCHINS K ; KARRAS G ; ERWIN J ; SULLIVAN KL
American journal of infection control. 2009/09; 37(7) : 590-597
Summary: Background: Ventilator-associated pneumonia (VAP) is a nosocomial pneumonia that develops in patients on mechanical ventilation for >or = 48 hours. VAP develops at an estimated rate of 1% to 3% per day of mechanical ventilation.Methods: Quality improvement project. Mechanically ventilated patients received the following oral care every 4 hours: the teeth were brushed with cetylpyridinium chloride (changed to 0.12% chlorhexidine gluconate in 2007) using a suction toothbrush, the oral cavity was cleansed with suction swabs treated with hydrogen peroxide, a mouth moisturizer was applied, deep oropharyngeal suctioning was performed, and suction catheters were used to control secretions. The primary efficacy variable was a diagnosis of VAP in patients mechanically ventilated for >or= 48 hours.Results: The historical average rate of VAP in 2004 was 12.6 cases/1000 ventilator-days. After the inception of the quality improvement project, VAP rates decreased to 4.12 (VAP cases/days of ventilation 3 1000) for May to December 2005, to 3.57 for 2006, and to 1.3 for 2007.Conclusion: The use of an oral care protocol intervention and ventilator bundle led to an 89.7% reduction in the VAP rate in mechanically ventilated patients from 2004 to 2007.(RESUME D'AUTEUR)
Publication
2009/09

Pages
590-597

Language
Anglais

Number of ref
24

Published in
American journal of infection control

Geographical name

Document's type

Free words

ID notice
319318

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CCLIN Est
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CCLIN Paris Nord
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Hospices Civils de Lyon
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CCLIN Sud-Ouest
CClin Sud-Ouest
CHU de Bordeaux
Hôpital Pellegrin - Bâtiment Le Tondu
33076 Bordeaux
Tél : 05.56.79.60.58
cclin.so@chu-bordeaux.fr
http://www.cclin-sudouest.com/

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