The adherence of the multi-professional team to preventive measures of ventilator-associated pneumonia

Detalhes bibliográficos
Autor(a) principal: Chastay, Angela Maria
Data de Publicação: 2021
Outros Autores: Brunoski, Janaini, Narciso, Arthur Garani, Dalazoana Filho, Elder, Polay, João Pedro Gambetta, Arcaro, Guilherme, Gaspar, Maria Dagmar da Rocha
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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spelling 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
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