Non-ventilator associated hospital acquired pneumonia incidence and health outcomes among US veterans from 2016-2020

被引:16
作者
Carey, Evan [1 ,2 ,3 ,4 ]
Blankenhorn, Richard [1 ]
Chen, Peter [1 ]
Munro, Shannon [5 ]
机构
[1] Rocky Mt Reg VA Med Ctr, Res & Dev, Aurora, CO USA
[2] VA Collaborat Evaluat Ctr, 1700 N Wheeling, Aurora, CO 80045 USA
[3] VA Collaborat Evaluat Ctr, Seattle, WA USA
[4] VA Collaborat Evaluat Ctr, Cleveland, OH USA
[5] Salem VA Med Ctr, Res & Dev, Salem, VA USA
关键词
Non-ventilator associated hospital acquired pneumonia; Non-device related pneumonia; Inpatient sepsis; Mortality; Hospital acquired infection; Veterans; ORAL CARE; PREVENTION;
D O I
10.1016/j.ajic.2021.06.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Among 1,635,711 Veteran acute care admissions (FY2016-2020), the risk of non-ventilator associated hospital acquired pneumonia (NV-HAP) was 1.26 cases per 1,000 hospitalized days and decreased linearly over time with an uptick in cases in the last year coinciding with the onset of the covid-19 pandemic. Veterans who develop NV-HAP experience remarkably higher 30-day and 1-year mortality, longer length of stay, and higher rates of inpatient sepsis. Monitoring and prevention measures may substantially reduce negative outcomes. (c) 2021 Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.
引用
收藏
页码:116 / 119
页数:4
相关论文
共 8 条
[1]   The impact of the COVID-19 pandemic on healthcare acquired infections with multidrug resistant organisms [J].
Cole, Jennifer ;
Barnard, Emily .
AMERICAN JOURNAL OF INFECTION CONTROL, 2021, 49 (05) :653-654
[2]   The epidemiology of nonventilator hospital-acquired pneumonia in the United States [J].
Giuliano, Karen K. ;
Baker, Dian ;
Quinn, Barbara .
AMERICAN JOURNAL OF INFECTION CONTROL, 2018, 46 (03) :322-327
[3]  
Giuliano KK, 2016, AM J INFECT CONTROL, V44, pS20
[4]  
Healthcare Cost and Utilization Project (HCUP), 2020, CLIN CLASSIFICATIONS
[5]   Prevention of Healthcare-Associated Pneumonia with Oral Care in Individuals Without Mechanical Ventilation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials [J].
Kaneoka, Asako ;
Pisegna, Jessica M. ;
Miloro, Keri V. ;
Lo, Mel ;
Saito, Hiroki ;
Riquelme, Luis F. ;
LaValley, Michael P. ;
Langmore, Susan E. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2015, 36 (08) :899-906
[6]   Multistate Point- Prevalence Survey of Health Care- Associated Infections [J].
Magill, Shelley S. ;
Edwards, Jonathan R. ;
Bamberg, Wendy ;
Beldavs, Zintars G. ;
Dumyati, Ghinwa ;
Kainer, Marion A. ;
Lynfield, Ruth ;
Maloney, Meghan ;
McAllister-Hollod, Laura ;
Nadle, Joelle ;
Ray, Susan M. ;
Thompson, Deborah L. ;
Wilson, Lucy E. ;
Fridkin, Scott K. .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (13) :1198-1208
[7]   Reducing missed oral care opportunities to prevent non-ventilator associated hospital acquired pneumonia at the Department of Veterans Affairs [J].
Munro, Shannon ;
Baker, Dian .
APPLIED NURSING RESEARCH, 2018, 44 :48-53
[8]   Prevention of hospital-acquired pneumonia in non-ventilated adult patients: a narrative review [J].
Passaro, Leonor ;
Harbarth, Stephan ;
Landelle, Caroline .
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL, 2016, 5