• 1. Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan 610041, P. R. China;
  • 2. Department of Nosocomial Infection Management, the First People's Hospital of Shuangliu County, Chengdu, Sichuan 610200, P. R. China;
HUANGQiong-hua, Email: 791848916@qq.com
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Objective To observe the effect of bundle interventions on ventilator-associated pneumonia (VAP) in Intensive Care Unit (ICU). Methods Baseline survey among the patients undergoing mechanical ventilation was conducted during June 2011 to August 2011. During September 2011 to May 2012, the rate of VAP was monitored every three months after taking bundle measures, which included oral care, elevation of the head of the bed, daily assessment of readiness to extubation, optimizing process of devices disinfection and hand hygiene. Results Through carrying out the bundle interventions, the VAP rate decreased from 61.2‰ to 34.9‰ after six months and 22.7‰ after nine months, and the ventilator utilization ratio decreased from 26.5% to 24.6% after six months and 22.6% after nine months. The alcohol-based hand disinfectant dosage was increased from 32.6 mL to 58.8 mL and 54.4 mL for each patient bed in ICU. Conclusion The bundle intervention has been proved to be effective. Measures such as staff education, bedside supervision and monitoring data feedback can help implement bundle interventions.

Citation: LIUZhu, HUANGQiong-hua, ANHan, DENGXiao-hua. Effect of Bundle Interventions on Ventilator-associated Pneumonia in Intensive Care Unit. West China Medical Journal, 2014, 29(3): 449-451. doi: 10.7507/1002-0179.20140134 Copy

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