The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21554 |
Resumo: | Objective: The main purpose of this paper was to evaluate the incidence of Ventilator-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the adherence of the bundles by healthcare professionals. Methodology: This study was prospective, observational, and quantitative, performed in an ICU located in Ponta Grossa (Paraná, Brazil) gathering data from December 2018 to February 2019 through medical records and bedside observations. Results: This study included 56 patients, of whom 3 acquired VAP. The multi-professional team performed several procedures that met the prevention bundles in that UCI, writing them down in medical records, but some of them were not being applied in practice or were not performed properly, exposing divergences between annotations and bedside observations. Conclusion: It is noted that bundles are effective in preventing VAP, reduces risks of HAI and, consequently, deaths. However, there is a need to guide the applicability and registration by the multidisciplinary team, optimizing the adherence of these measures, in order to improve the quality of health of patients and reducing costs and the length of stay in the ICU related to VAP. |
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The adherence of the multi-professional team to preventive measures of ventilator-associated pneumoniaLa adhesión del equipo multiprofesional a las medidas preventivas de la neumonía asociada al ventiladorA adesão da equipe multiprofissional às medidas preventivas da pneumonia associada à ventilação mecânicaUnidade de Tratamento IntensivoInfecções Relacionadas a Cuidados de SaúdePneumoniaVentilação pulmonar mecânica.Unidad de Cuidados IntensivosInfecciones relacionadas con la atención médicaNeumoníaVentilación pulmonar mecánica.Intensive Care UnitHealth Care-Related InfectionsPneumoniaMechanical pulmonary ventilation.Objective: The main purpose of this paper was to evaluate the incidence of Ventilator-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the adherence of the bundles by healthcare professionals. Methodology: This study was prospective, observational, and quantitative, performed in an ICU located in Ponta Grossa (Paraná, Brazil) gathering data from December 2018 to February 2019 through medical records and bedside observations. Results: This study included 56 patients, of whom 3 acquired VAP. The multi-professional team performed several procedures that met the prevention bundles in that UCI, writing them down in medical records, but some of them were not being applied in practice or were not performed properly, exposing divergences between annotations and bedside observations. Conclusion: It is noted that bundles are effective in preventing VAP, reduces risks of HAI and, consequently, deaths. However, there is a need to guide the applicability and registration by the multidisciplinary team, optimizing the adherence of these measures, in order to improve the quality of health of patients and reducing costs and the length of stay in the ICU related to VAP.Objetivo: El objetivo principal de este artículo fue evaluar la incidencia de neumonía associada a ventilación pulmonar mecânica (NAV) en una Unidad de Terapia Intensiva (UCI) y la adherencia de los paquetes por parte de los profesionales de la salud. Metodologia: El estudio fue prospectivo, observacional y cuantitativo, realizado en una UCI ubicada en Ponta Grossa (PR), con recolección de datos desde diciembre de 2018 a febrero de 2019 a través de historias clínicas y observaciones de cabecera. Resultados: Este estudio incluyó a 56 pacientes, 3 de los cuales adquirieron NAV. El equipo multidisciplinario realizó varios procedimientos que cumplieron con los haces de prevención de esa UCI, registrándolos en la historia clínica, pero algunos de ellos no se estaban aplicando en la práctica o no se realizaban adecuadamente, exponiendo diferencias entre notas y observaciones a pie de cama. Conclusíon: Cabe señalar que los paquetes son eficaces en la prevención de NAV, reduciendo el riesgo de HAI y, en consecuencia, la muerte. Sin embargo, es necesario orientar la aplicabilidad y registro por parte del equipo multidisciplinar, optimizando la adherencia a estas medidas, con el fin de mejorar la calidad de salud de los pacientes y reducir los costes y la estancia en UCI relacionados con NAV.Objetivo: O objetivo principal deste artigo foi avaliar a incidência de pneumonia associada à ventilação pulmonar mecânica (PAV) em uma Unidade de Terapia Intensiva (UTI) e a adesão dos bundles por profissionais de saúde. Métodos: O estudo foi prospectivo, observacional e quantitativo, realizado em uma UTI localizada em Ponta Grossa (PR), com coleta de dados no período de dezembro de 2018 a fevereiro de 2019 por meio de prontuários e observações à beira do leito. Resultados: Este estudo incluiu 56 pacientes, dos quais 3 adquiriram PAV. A equipe multiprofissional realizou diversos procedimentos que atendiam aos bundles de prevenção daquela UCI, anotando-os nos prontuários, mas alguns deles não estavam sendo aplicados na prática ou não foram realizados de forma adequada, expondo divergências entre anotações e observações à beira do leito. Conclusão: Salienta-se que os bundles são eficazes na prevenção da PAV, reduzem os riscos de IRAS e, consequentemente, óbitos. No entanto, há a necessidade de orientar a aplicabilidade e o registro pela equipe multiprofissional, otimizando a adesão dessas medidas, a fim de melhorar a qualidade de saúde dos pacientes e reduzir os custos e o tempo de permanência na UTI relacionados à PAV.Research, Society and Development2021-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2155410.33448/rsd-v10i13.21554Research, Society and Development; Vol. 10 No. 13; e424101321554Research, Society and Development; Vol. 10 Núm. 13; e424101321554Research, Society and Development; v. 10 n. 13; e4241013215542525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/21554/19061Copyright (c) 2021 Angela Maria Chastay; Janaini Brunoski; Arthur Garani Narciso; Elder Dalazoana Filho; João Pedro Gambetta Polay; Guilherme Arcaro; Maria Dagmar da Rocha Gasparhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessChastay, Angela MariaBrunoski, JanainiNarciso, Arthur Garani Dalazoana Filho, ElderPolay, João Pedro Gambetta Arcaro, GuilhermeGaspar, Maria Dagmar da Rocha 2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21554Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:56.928506Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia La adhesión del equipo multiprofesional a las medidas preventivas de la neumonía asociada al ventilador A adesão da equipe multiprofissional às medidas preventivas da pneumonia associada à ventilação mecânica |
title |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
spellingShingle |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia Chastay, Angela Maria Unidade de Tratamento Intensivo Infecções Relacionadas a Cuidados de Saúde Pneumonia Ventilação pulmonar mecânica. Unidad de Cuidados Intensivos Infecciones relacionadas con la atención médica Neumonía Ventilación pulmonar mecánica. Intensive Care Unit Health Care-Related Infections Pneumonia Mechanical pulmonary ventilation. |
title_short |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
title_full |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
title_fullStr |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
title_full_unstemmed |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
title_sort |
The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia |
author |
Chastay, Angela Maria |
author_facet |
Chastay, Angela Maria Brunoski, Janaini Narciso, Arthur Garani Dalazoana Filho, Elder Polay, João Pedro Gambetta Arcaro, Guilherme Gaspar, Maria Dagmar da Rocha |
author_role |
author |
author2 |
Brunoski, Janaini Narciso, Arthur Garani Dalazoana Filho, Elder Polay, João Pedro Gambetta Arcaro, Guilherme Gaspar, Maria Dagmar da Rocha |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Chastay, Angela Maria Brunoski, Janaini Narciso, Arthur Garani Dalazoana Filho, Elder Polay, João Pedro Gambetta Arcaro, Guilherme Gaspar, Maria Dagmar da Rocha |
dc.subject.por.fl_str_mv |
Unidade de Tratamento Intensivo Infecções Relacionadas a Cuidados de Saúde Pneumonia Ventilação pulmonar mecânica. Unidad de Cuidados Intensivos Infecciones relacionadas con la atención médica Neumonía Ventilación pulmonar mecánica. Intensive Care Unit Health Care-Related Infections Pneumonia Mechanical pulmonary ventilation. |
topic |
Unidade de Tratamento Intensivo Infecções Relacionadas a Cuidados de Saúde Pneumonia Ventilação pulmonar mecânica. Unidad de Cuidados Intensivos Infecciones relacionadas con la atención médica Neumonía Ventilación pulmonar mecánica. Intensive Care Unit Health Care-Related Infections Pneumonia Mechanical pulmonary ventilation. |
description |
Objective: The main purpose of this paper was to evaluate the incidence of Ventilator-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the adherence of the bundles by healthcare professionals. Methodology: This study was prospective, observational, and quantitative, performed in an ICU located in Ponta Grossa (Paraná, Brazil) gathering data from December 2018 to February 2019 through medical records and bedside observations. Results: This study included 56 patients, of whom 3 acquired VAP. The multi-professional team performed several procedures that met the prevention bundles in that UCI, writing them down in medical records, but some of them were not being applied in practice or were not performed properly, exposing divergences between annotations and bedside observations. Conclusion: It is noted that bundles are effective in preventing VAP, reduces risks of HAI and, consequently, deaths. However, there is a need to guide the applicability and registration by the multidisciplinary team, optimizing the adherence of these measures, in order to improve the quality of health of patients and reducing costs and the length of stay in the ICU related to VAP. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21554 10.33448/rsd-v10i13.21554 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21554 |
identifier_str_mv |
10.33448/rsd-v10i13.21554 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21554/19061 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 13; e424101321554 Research, Society and Development; Vol. 10 Núm. 13; e424101321554 Research, Society and Development; v. 10 n. 13; e424101321554 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052692783169536 |