Strategies for preventing ventilator-associated pneumonia: an integrative review

• Autor(a) principal: Alecrim,Raimunda Xavier
• Data de Publicação: 2019
• Outros Autores: Taminato,Mônica, Belasco,Angélica, Longo,Maria Cristina Barbosa, Kusahara,Denise Miyuki, Fram,Dayana
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200521
• topic: Disease Prevention; Ventilator-Associated Pneumonia; Patient Care Bundles; Intensive Care Unit; Nursing

ABSTRACT Objective: to identify studies about strategies for prevention of ventilator-associated pneumonia deployed in health services and classify their level of evidence. Method: integrative review of the literature, in 7 databases, which included the following descriptors: Prevention and Control AND Pneumonia Ventilator-Associated AND Intensive Care Units AND Bundle AND Patient Care. Results: twenty-three scientific productions were included. Of the preventive measures identified, 9 (39.1%) correspond from three to five strategies. The most frequent were: 22 (95.6%) lying with head elevated, 19 (82.6%) oral hygiene with chlorhexidine and 14 (60.8%) reduction of sedation whenever possible. Final Consideration: the application of measures based on scientific evidence is proven to be effective when carried out in conjunction, impacting the reduction of the incidence of ventilator-associated pneumonia.