Author/Authors :
Arabnejad، Hakimeh نويسنده Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, Iran. Arabnejad, Hakimeh , Ebadi، Abbas نويسنده , , Ahmadinejad، Mahdi نويسنده Mahdi Ahmadinejad(MD) : Assistant Professor, Anesthesiologist and Specialist in ICU –MD, Bahonar Hospital, Kerman University Medical of Sciences, Kerman, Iran. Ahmadinejad, Mahdi , Jonid Jaffari، Nematollah نويسنده Assistant Professor, Specialist in infection disease –MD, Health Research Center, Baqiyatallah University Medical of Sciences, Tehran, Iran. e-mail: jonaidi2000@yahoo.com Jonid Jaffari, Nematollah , Tadrisi، Sayed Davood نويسنده Instructor, Nursing Faculty Baqiyatallah University Medical of Sciences, Tehran, Iran Tadrisi, Sayed Davood , Saghafinia، Masoud نويسنده Masoud Saghafinia (MD): Assistant Professor, Anesthesiologist - MD Trauma Research Center, Baqiyatallah University Medical of Sciences, Tehran, Iran Saghafinia, Masoud , Imani Fooladi، Abbas Ali نويسنده ,
Abstract :
Background:
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units
(ICUs), leading to increase in mortality and length of ICU and hospital stay as well as duration of mechanical ventilation and hospital charges .
Aim: The present study was conducted to investigate the effect of combination strategy on early VAP .
Methods:
In a controlled clinical trial, 117 patients undergoing mechanical ventilation were evaluated in ICU in two
groups comprising control (n=71) and intervention (n=46); the former received the wardʹs routine care, and the latter
received planned nursing care protocols. Incidence of pneumonia was investigated using clinical pulmonary infection
score system (CPIS) and Mini-BAL method .
Results:
The incidence of early VAP was 19.6% and 40.8% in the intervention and the control groups respectively (P
< 0.001). The early VAP rate was 22.8 and 14.41 per 1000 ventilator days in control and the intervention groups.
respectively. Length of ICU (P < 0.02) and hospital (P < 0.001) stay and also duration of mechanical ventilation (P < 0.001)
showed significant reduction in the intervention group compared to the controls.
Conclusions:
Precise implementation of planned and evidence-based nursing care is effective in reducing incidence,
duration and hospital stay associated with early VAP .
