Intensive Care Medicine

, Volume 36, Issue 5, pp 773–780 | Cite as

A European care bundle for prevention of ventilator-associated pneumonia

  • Jordi Rello
  • Hartmut Lode
  • Giuseppe Cornaglia
  • Robert Masterton
  • The VAP Care Bundle Contributors
Original

Abstract

Background

One recent approach to facilitating guideline implementation involves the use of care bundles.

Methods

This document presents a care bundle package addressing VAP prevention in an attempt to promote guideline-compliant practices. Uniquely, the development of these care bundles used a formalised methodology to assess the supporting data, based on multi-criteria decision analysis.

Results

The resulting VAP care bundles for prevention were: non-ventilatory circuit changes unless specifically indicated, alcohol hand hygiene, appropriately educated and trained staff, incorporation of sedation control and weaning protocols into patient care, and oral care with clorhexidine.

Conclusion

Adoption of these care bundles should rationalise VAP prevention practises and improve outcomes, such as length of stay.

Keywords

Ventilator-associated pneumonia Care bundles Prevention 

Abbreviations

VAP

Ventilator-associated pneumonia

FASTHUG

Feeding analgesia sedation thromboembolic ulcer glucose

ICU

Intensive care medicine

HAP

Hospital-acquired pneumonia

MCDA

Multi-criteria decision analysis

CPIS

Clinical Pulmonary Infection Score

ATS

American Thoracic Society

IDSA

Infectious Disease Society of America

BSAC

British Society for Antimicrobial Chemotherapy

SHEA

Society of Healthcare Epidemiologists of America

Supplementary material

134_2010_1841_MOESM1_ESM.doc (32 kb)
Supplementary material 1 (DOC 32 kb)

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Copyright information

© Copyright jointly held by Springer and ESICM 2010

Authors and Affiliations

  • Jordi Rello
    • 1
    • 5
  • Hartmut Lode
    • 2
  • Giuseppe Cornaglia
    • 3
  • Robert Masterton
    • 4
  • The VAP Care Bundle Contributors
  1. 1.Critical Care DepartmentVall d’Hebrón University Hospital, Institut de Recerca Vall d’Hebrón-UAB, CIBERESBarcelonaSpain
  2. 2.Department of Chest and Infectious Diseases, Heliosklinikum Emil van BehringAcademic Teaching Hospital of ChariteBerlinGermany
  3. 3.Department of PathologyUniversity of VeronaVeronaItaly
  4. 4.Ayrshire and Arran National Health Service Board the Ayr HospitalGlasgowUK
  5. 5.Critical Care Department, Vall d’Hebrón University HospitalBarcelonaSpain

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