THE IMPLEMENTATION OF VENTILATOR ASSOCIATED PNEUMONIA BUNDLE (VAP) IN THE ICU OF EKA HOSPITAL, PEKANBARU

Authors

  • Erna Maria Master's Program of Hospital Administration, Faculty of Public Health,Universitas Indonesia
  • Vetty Yulianty Permanasari Master's Program of Hospital Administration, Faculty of Public Health,Universitas Indonesia

Keywords:

Application of VAP Bundle, Nosocomial Infection, Infection Control

Abstract

Background: Nosocomial infections or known as Hospital Acquired Infections (HAIs) is a worldwide problem. VAP is nosocomial pneumonia which occurs more than 48 hours after installation of mechanical ventilation, either through an endotracheal tube or tracheostomy. The patient in ICU have high risk on VAP infection and increasing morbidity, mortality and also prolonged length of hospital stay

Methods: This research is an observational study evaluating conditions before and after a specific standard operating procedure being implemented in reducing VAP infection in ICU EKA Hospital Pekanbaru.

Results: It's obtained from medical record data of 339 patients hospitalized at ICU of Eka Hospital Pekanbaru ranging from 2016 to 2017. There is significant decrease number of VAP infections in 2017 by 60%. The reduction occurred due to the application of a routine VAP Bundle covering 100% for all hospitalized ICU patients.

Conclusions: Strict monitoring and supervision are required to maintain VAP bundle and reduce the incidence of VAP infection in ICU of Eka Hospital Pekanbaru.

 

Downloads

Download data is not yet available.

References

WHO. 2016. Healthcare without Avoidable Infections. The Critical Role of Infection Prevention And Control.

Khan, Z. H., Ceriana, P., & Donner, C. F. (2017). Ventilator associated pneumonia or ventilator induced pneumonia.

Multidisciplinary Respiratory Medicine, 12, 5. http://doi.org/10.1186/s40248-017-0086-3

Annual Epidemiological Report for 2016 Healthcare-Associated Infections Acquired In Intensive Care Units

Guideline for Prevention of Ventilator Associated Pneumonia, 1'st Edition. April 2013 http://icas.org.sg/guidelines/VAP guidelines

st Edition.pdf

Asian Pacific Journal of Tropical Biomedicine, ISSN: 2221-1691, Vol: 5, Issue: 7, Page: 509-514 Publication Year: 2015

How-to Guide: Prevent Ventilator-Associated Pneumonia. Cambridge, MA: Institute for Healthcare Improvement. IHI 2012

Landelle C, et all. February 2018. Guide To Infection Control In Hospital. Mechanical Ventilation. Chapter 33. International Society

for Infectious Disease.

The 2016 Guidelines for Hospital-acquired and Ventilator-associated Pneumonia. American Journal of Respiratory and Critical Care Medicine Volume 194 Number 6, page 659. September 15 2016

Jaffar A. Al-Tawfiqa, Paul A. Tambyah Specialty. Healthcare associated infections (HAI)perspectives. Elsevier. Journal of Infection

and Public Health (2014) 7, 339”344

European Centre for Disease Prevention and Control. European surveillance of healthcare-associated infections in intensive care units

–HAI-Net ICU protocol, version 1.02. Stockholm: ECDC; 2015.

The Regulation of the Ministry of Health of the Republicof Indonesia Number 27/MENKES/ PER/XII/2011 on the Guideline of Infection Prevention and Controlling in Health Service Facilities

Govindan S, Hyzy RC. The 2016 Guidelines for Hospital-acquired and Ventilator-associated Pneumonia. A Selection Correction? American Journal of Respiratory and Critical Care Medicine. 2016;194(6):658-660. doi:10.1164/rccm.201607-1447ED.

The Guideline of Infection Prevention and Controlling in Hospitals and Other Health Service Facilities. Preparedness in Facing Emerging Infectious Disease. PERDALIN, Cetakan ketiga. Tahun 2011

Resar R, Pronovost P, Haraden C, Simmonds T, et al. Using A Bundle Approach To Improve Ventilator Care Processes And Reduce Ventilator-Associated Pneumonia. Joint Commission Journal on Quality and Patient Safety. 2005;31(5):243-248

Bor C, Demirag K, Okcu O, Cankayali I, Uyar M. Ventilator-Associated Pneumonia In Critically Ill Patients With Intensive Antibiotic Usage. Pak J Med Sci 015;31(6):1441-1446. doi: http://dx.doi.org/10.12669/pjms.316.8038

Impact Of VAP Bundle Adherence Among Ventilated Critically Ill Patients And Its Effectiveness In Adult ICU. Egyptian Journal of Chest Diseases and Tuberculosis, ISSN: 0422-7638, Vol: 66, Issue: 1, Page: 81-86 Publication Year: 2017

Neuville M, Mourvillier B, Bouadma L, Timsit J-F. Bundle Of Care Decreased Ventilator-associated events”implications for ventilator-associated pneumonia prevention. Journal of Thoracic Disease. 2017;9(3):430-433. doi:10.21037/jtd.2017.02.72.

Sargin F, Sagiroglu AE, Dogru A, Gura M, Sayhan H, Tigen E. Etiology, incidence and risks factors of ventilation associated pneumonia in an intensive care unit of training and research hospital in Istanbul. Gastepe Research and Training Hospital, Infectious Disease and Clinical microbiology Department, Anasthesiology and eanimation Departement. Gastepe Tip Dergisi; 2013. 28 (1): 14- 8.

Kalanuria AA, Zai W, Mirski M. Ventilator associated pneumonia in the ICU. Critical Care Med; 2014. 18: 208.

Published

2018-08-02

Issue

Section

Articles

How to Cite

THE IMPLEMENTATION OF VENTILATOR ASSOCIATED PNEUMONIA BUNDLE (VAP) IN THE ICU OF EKA HOSPITAL, PEKANBARU. (2018). Proceedings of the International Conference on Applied Science and Health, 3, 149-154. https://publications.inschool.id/index.php/icash/article/view/768

Similar Articles

11-20 of 99

You may also start an advanced similarity search for this article.