An Evidence-Based Oral Care Protocol to Decrease Ventilator-Associated Pneumonia

被引:14
作者
Cuccio, Lisa [1 ,2 ]
Cerullo, Ellen [3 ,4 ]
Paradis, Heidi [3 ]
Padula, Cynthia [3 ]
Rivet, Cindy [5 ]
Steeves, Susan [6 ]
Lynch, Judy [3 ]
机构
[1] Miriam Hosp, Patient Safety Reporting Syst, Providence, RI USA
[2] Miriam Hosp, Rhode Isl Intens Care Unit Collaborat, Act, Providence, RI USA
[3] Miriam Hosp, 164 Summit Ave, Providence, RI 02906 USA
[4] Rhode Isl Intens Care Unit Collaborat, Act, Providence, RI USA
[5] Miriam Hosp, Coronary Care Unit, Providence, RI USA
[6] Miriam Hosp, Cardiothorac Unit, Providence, RI USA
关键词
Hospital-acquired infections; Mechanical ventilation; Ventilator-associated pneumonia;
D O I
10.1097/DCC.0b013e3182619b6f
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The purpose of this study was to examine the impact of 0.12% chlorhexidine rinses and an oral care protocol on ventilator-associated pneumonia rates. A quasi-experimental preintervention-postintervention design was used. The sample included all patients admitted to critical care and on mechanical ventilation at any time during the study period. Data were collected 6 months before and 12 months after intervention. Ventilator-associated pneumonia rates were reduced from 4.3 to 1.86 per 1000 ventilator-days during the study period, with an estimated cost avoidance of $700 000 to $798 000.
引用
收藏
页码:301 / 308
页数:8
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