Review: several interventions prevent ventilator associated pneumonia in critically ill patients.
نویسنده
چکیده
Conclusions Semirecumbent positioning, stress ulcer prophylaxis (sucralfate rather than H2 antagonists), aspiration of subglottic secretions, selective digestive tract decontamination, and oscillating beds reduce ventilator associated pneumonia (VAP) in select critically ill patients. No evidence currently supports specific methods of enteral feeding or increased frequency of ventilator circuitry changes for prevention of VAP.
منابع مشابه
نقش مراقبت از دهان در پیشگیری از پنومونی ناشی از ونتیلاتور: یک مطالعه مروری
Introduction: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection reported among mechanical ventilation patients in intensive care units(ICU). Ventilator-associated pneumonia is associated with increased morbidity, mortality hospital, length of stay and health care costs. Oral health can be compromised by critical illness and by mechanical ventilation and thus, it dete...
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Improving the quality of oral hygiene is recognised as an important counter measure for reducing the incidence of ventilator-associated pneumonia amongst critically ill patients. Toothbrushing physically disrupts the dental plaque that acts as a reservoir for pulmonary infection and therefore has the potential to reduce the incidence of ventilator-associated pneumonia. Gu and colleagues perform...
متن کاملPrevention of ventilator-associated pneumonia.
Ventilator-associated pneumonia (VAP) is an important source of morbidity and mortality in critically ill patients. Many interventions are touted to prevent VAP but studies supporting these interventions are difficult to interpret owing to an exceedingly poor correlation between clinical diagnosis of VAP and the presence of an invasive pneumonia. There is consequently a risk that purported decr...
متن کاملPrevention of ventilator-associated pneumonia: an evidence-based systematic review.
BACKGROUND Ventilator-associated pneumonia is a common cause of morbidity in critically ill patients. Interventions beneficial to the prevention of ventilator-associated pneumonia would therefore have a significant impact on the care of these patients. PURPOSE To perform a literature review and synthesis of methods for prevention of ventilator-associated pneumonia. DATA SOURCES MEDLINE (196...
متن کاملSerum Procalcitonin Level and Mortality Risk in Critically ill Patients with Ventilator-Associated Pneumonia.
BACKGROUND/AIMS The prognostic role of serum procalcitonin level in critically ill patients with ventilator-associated pneumonia was unclear. The aim of our study was to investigate the relationship between serum procalcitonin level and mortality risk in critically ill patients with ventilator-associated pneumonia. METHODS Data of critically ill patients with ventilator-associated pneumonia w...
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عنوان ژورنال:
- Evidence-based nursing
دوره 6 4 شماره
صفحات -
تاریخ انتشار 2003