Cargando…
Impact of a VAP bundle in Belgian intensive care units
BACKGROUND: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011–2012. This repo...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962527/ https://www.ncbi.nlm.nih.gov/pubmed/29785504 http://dx.doi.org/10.1186/s13613-018-0412-8 |
_version_ | 1783324881632362496 |
---|---|
author | Jadot, Laurent Huyghens, Luc De Jaeger, Annick Bourgeois, Marc Biarent, Dominique Higuet, Adeline de Decker, Koen Vander Laenen, Margot Oosterlynck, Baudewijn Ferdinande, Patrick Reper, Pascal Brimioulle, Serge Van Cromphaut, Sophie De Clety, Stéphane Clement Sottiaux, Thierry Damas, Pierre |
author_facet | Jadot, Laurent Huyghens, Luc De Jaeger, Annick Bourgeois, Marc Biarent, Dominique Higuet, Adeline de Decker, Koen Vander Laenen, Margot Oosterlynck, Baudewijn Ferdinande, Patrick Reper, Pascal Brimioulle, Serge Van Cromphaut, Sophie De Clety, Stéphane Clement Sottiaux, Thierry Damas, Pierre |
author_sort | Jadot, Laurent |
collection | PubMed |
description | BACKGROUND: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011–2012. This report will document the impact of this campaign. METHODS: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded. RESULTS: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30° were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p ≤ 0.0001). CONCLUSION: Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines. |
format | Online Article Text |
id | pubmed-5962527 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-59625272018-06-11 Impact of a VAP bundle in Belgian intensive care units Jadot, Laurent Huyghens, Luc De Jaeger, Annick Bourgeois, Marc Biarent, Dominique Higuet, Adeline de Decker, Koen Vander Laenen, Margot Oosterlynck, Baudewijn Ferdinande, Patrick Reper, Pascal Brimioulle, Serge Van Cromphaut, Sophie De Clety, Stéphane Clement Sottiaux, Thierry Damas, Pierre Ann Intensive Care Research BACKGROUND: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011–2012. This report will document the impact of this campaign. METHODS: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded. RESULTS: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30° were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p ≤ 0.0001). CONCLUSION: Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines. Springer International Publishing 2018-05-21 /pmc/articles/PMC5962527/ /pubmed/29785504 http://dx.doi.org/10.1186/s13613-018-0412-8 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Jadot, Laurent Huyghens, Luc De Jaeger, Annick Bourgeois, Marc Biarent, Dominique Higuet, Adeline de Decker, Koen Vander Laenen, Margot Oosterlynck, Baudewijn Ferdinande, Patrick Reper, Pascal Brimioulle, Serge Van Cromphaut, Sophie De Clety, Stéphane Clement Sottiaux, Thierry Damas, Pierre Impact of a VAP bundle in Belgian intensive care units |
title | Impact of a VAP bundle in Belgian intensive care units |
title_full | Impact of a VAP bundle in Belgian intensive care units |
title_fullStr | Impact of a VAP bundle in Belgian intensive care units |
title_full_unstemmed | Impact of a VAP bundle in Belgian intensive care units |
title_short | Impact of a VAP bundle in Belgian intensive care units |
title_sort | impact of a vap bundle in belgian intensive care units |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962527/ https://www.ncbi.nlm.nih.gov/pubmed/29785504 http://dx.doi.org/10.1186/s13613-018-0412-8 |
work_keys_str_mv | AT jadotlaurent impactofavapbundleinbelgianintensivecareunits AT huyghensluc impactofavapbundleinbelgianintensivecareunits AT dejaegerannick impactofavapbundleinbelgianintensivecareunits AT bourgeoismarc impactofavapbundleinbelgianintensivecareunits AT biarentdominique impactofavapbundleinbelgianintensivecareunits AT higuetadeline impactofavapbundleinbelgianintensivecareunits AT dedeckerkoen impactofavapbundleinbelgianintensivecareunits AT vanderlaenenmargot impactofavapbundleinbelgianintensivecareunits AT oosterlynckbaudewijn impactofavapbundleinbelgianintensivecareunits AT ferdinandepatrick impactofavapbundleinbelgianintensivecareunits AT reperpascal impactofavapbundleinbelgianintensivecareunits AT brimioulleserge impactofavapbundleinbelgianintensivecareunits AT vancromphautsophie impactofavapbundleinbelgianintensivecareunits AT decletystephaneclement impactofavapbundleinbelgianintensivecareunits AT sottiauxthierry impactofavapbundleinbelgianintensivecareunits AT damaspierre impactofavapbundleinbelgianintensivecareunits |