Advertisement

Intensive Care Medicine

, Volume 41, Issue 12, pp 2231–2232 | Cite as

Impact of multifaceted preventive measures on ventilator-associated pneumonia at a single surgical centre

  • Priyam Batra
  • Purva MathurEmail author
  • Nibu V. John
  • Sunita A. Nair
  • Richa Aggarwal
  • Kapil Dev Soni
  • Ashish Bindra
  • Keshav Goyal
  • Mahesh C. Misra
Letter

Dear Editor,

The cumulative incidence of ventilator-associated pneumonia (VAP) among patients admitted to the intensive care unit (ICU) who have acquired an infection has been reported to be 10–25 %, accounting for 50 % of the antibiotics prescribed in the ICU [1] and increasing patient mortality by 20–55 % [2]. Implementing ventilator care bundles, as recommended in the National Healthcare Safety Network manual [3], reduces the risk of VAP and improves patient outcomes [2].

We conducted a retrospective study of patients admitted to the ICUs of a level-1 200-bed Indian trauma centre during a 3-year period (2011–2014) to evaluate the impact of intensive preventive efforts implemented to reduce the incidence of VAP. The data have been presented at an international conference [4].

In 2011, the trauma centre initiated a program consisting of frequent training sessions in which a microbiologist and an intensivist provided seminars and workshops to staff. A hospital infection control (HIC)...

Keywords

Trauma Centre Intensive Care Unit Staff Hospital Infection Control Neurosurgical Intensive Care Unit Infection Control Policy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflicts of interest

The authors certify that they have no commercial association or financial involvement (e.g., employment, consultancies, equity interest, honoraria, stock ownership, stock options, grants, patents received or pending) that might pose a conflict of interest in connection with this article. All work was conducted at a government institution which does not receive outside funding support. There is no conflict of interest among the authors.

Supplementary material

134_2015_4047_MOESM1_ESM.docx (12 kb)
Supplementary material 1 (DOCX 11 kb)

References

  1. 1.
    Pileggi C, Bianco A, Flotta D, Nobile CGA, Pavia M (2011) Prevention of ventilator-associated pneumonia, mortality and all intensive care unit acquired infections by topically applied antimicrobial or antiseptic agents: a meta-analysis of randomized controlled trials in intensive care units. Crit Care 15(3):R155PubMedCentralCrossRefPubMedGoogle Scholar
  2. 2.
    Rello J, Lode H, Cornaglia G, Masterton R (2010) VAP care bundle contributors. A European care bundle for prevention of ventilator-associated pneumonia. Intensive Care Med 36(5):773–780CrossRefPubMedGoogle Scholar
  3. 3.
    Centers for Disease Control and Prevention (2009) The National Healthcare Safety Network (NHSN) manual. Patient safety component protocol. Division of Healthcare Quality Promotion, National Center for Infectious Diseases, AtlantaGoogle Scholar
  4. 4.
    Batra P, Mathur P, John N, Nair S, Kumar A, Balamurugan M (2015) Impact of multifaceted preventive measures on ventilator-associated pneumonia at a surgical centre. In: 15th International Congress of the International Federation of Infection Control, New Delhi, IndiaGoogle Scholar
  5. 5.
    Bouadma L, Mourvillier B, Deiler V, Derennes N, Le Corre B, Lolom I, Régnier B, Wolff M, Lucet JC (2010) Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing ventilator-associated pneumonia. Intensive Care Med 36(8):1341–1347CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2015

Authors and Affiliations

  • Priyam Batra
    • 1
  • Purva Mathur
    • 2
    Email author
  • Nibu V. John
    • 1
  • Sunita A. Nair
    • 1
  • Richa Aggarwal
    • 3
  • Kapil Dev Soni
    • 3
  • Ashish Bindra
    • 3
  • Keshav Goyal
    • 3
  • Mahesh C. Misra
    • 4
  1. 1.Department of Laboratory Medicine, AIIMS, Trauma CentreNew DelhiIndia
  2. 2.AIIMS, Trauma CentreNew DelhiIndia
  3. 3.Department of Critical and Intensive care, AIIMS, Trauma CentreNew DelhiIndia
  4. 4.Department of Surgery, AIIMSNew DelhiIndia

Personalised recommendations