Incidence of ventilator associated pneumonia and effectiveness of ventilator bundle care in adult intensive care unit of a tertiary care hospital

• Author Details:   
• Rachana Patel ^*
• Ria Jayeshkumar Kotecha
• Trupti Jansari
• Biswaranjan Mohanty
• Bhumi Mistry
• Mohammad Shoaib Shakiluddin Saiyad
• Bhavin Patel

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Aim and Objective: Determining ventilator associated pneumonia (VAP) rate in adult intensive care unit patients, and the effectiveness of ventilator bundle care were the objectives of this study.

Materials and Methods: Adult patients admitted (18 years- 65 Years) to the Medical ICU of Dhiraj hospital who had a length of stay more than 72 hours and a duration of mechanical breathing more than 2 calendar days were included. The infection surveillance dataset of the ICU was used to extract demographic, clinical, and VAP data. A standard VAP prevention package was deployed and its effects measured. Selective decontamination of the digestive system (SDD), was introduced to the procedure.

Result: The research included 1,372 patients on ventilator. VAP was detected in 156 patients (11.4%). VAP incidence fell from 15.9% to 6.7% in the second phase of the research (P<.001). The incidence of both early and late onset VAP was reduced from 6.6% to 1.9% and % to 4.7%, respectively). Using multivariate analysis, the probability of acquiring ventilator-associated pneumonia from multidrug resistant bacteria decreased significantly in the bundle and selective digestive tract decontamination (SDD) phase.

Conclusion: Significantly reduced risk of developing VAP was connected with a standard approach to patient treatment encompassing a number of major reducing strategies.

Keywords: Ventilator associated pneumonia, Ventilator bundle care, Selective digestive tract decontamination.