Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit

Texto & Contexto - Enfermagem

Sabrina Guterres Da Silva¹  Raquel Kuerten De Salles¹  Eliane Regina Pereira Do Nascimento¹  Kátia Cilene Godinho Bertoncello¹  Cibele D'avila Kramer Cavalcanti¹ 

关键词: Intensive care units;    Pneumonia;    ventilator-associated;    Nursing assessment;    Patient care team;    Unidades de cuidados intensivos;    Neumonía asociada al ventilador;    Evaluación en enfermería;    Grupo de atención al paciente;    Unidades de Terapia Intensiva;    Pneumonia associada à ventilação mecânica;    Avaliação em enfermagem;    Equipe de assistência ao paciente;   

DOI  :  10.1590/0104-07072014002550013

来源: SciELO

【 摘 要 】

We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.

【 授权许可】

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