지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle. Methods: This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2.
Results: The numbers and incidences of VAP were significantly different among the three groups.
Moreover, there were significant differences among groups in ICU length of stay and mortality.
Conclusion: Three different VAP prevention bundles made different effects in patient outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneu-monia / American Journal of Respiratory Critical Care Medicine 171(4):388~416
반금옥 / 2009 / 중환자실 인공호흡기 관련 폐렴 예방 프로그램의 개발 및 효과 평가 / 성인간호학회지 21(2):155~166
Berenholtz, S. M. / 2011 / Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit / Infection Control and Hospital Epidemiology 32(4):305~314
Bouadma, L. / 2012 / Ventilator -associated pneumonia and its prevention / Current Opinion in Infectious Diseases 25(4):395~404
Burger, C. D. / 2006 / "Ventilator bundle" approach to prevention of ventilator-associated pneumonia / Mayo Clinic Procceedings 81(6):849~850
반금옥 / 2009 / 중환자실 인공호흡기 관련 폐렴 예방 프로그램의 개발 및 효과 평가 / 성인간호학회지 21(2):155~166
Berenholtz, S. M. / 2011 / Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit / Infection Control and Hospital Epidemiology 32(4):305~314
Bouadma, L. / 2012 / Ventilator -associated pneumonia and its prevention / Current Opinion in Infectious Diseases 25(4):395~404
Burger, C. D. / 2006 / "Ventilator bundle" approach to prevention of ventilator-associated pneumonia / Mayo Clinic Procceedings 81(6):849~850
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