Education to prevent ventilator-associated pneumonia in intensive care unit

• Autor(a) principal: Branco,Aline
• Data de Publicação: 2020
• Outros Autores: Lourençone,Emerson Matheus Silva, Monteiro,Ariane Baptista, Fonseca,Jaqueline Pettitembert, Blatt,Carine Raquel, Caregnato,Rita Catalina Aquino
• 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=S0034-71672020000600172
• topic: Pneumonia, Ventilator-Associated; Intensive Care Unit; Education; Infection Control; Patient Safety

ABSTRACT Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.