Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Nov 12;10(1):161.
doi: 10.1186/s13756-021-01027-1.

Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital

Cybele Lara Abad  1   2 , Cordella P Formalejo  3 , Dan Meynard L Mantaring  3
Affiliations

Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital

Cybele Lara Abad et al. Antimicrob Resist Infect Control. .

Abstract

Studies have shown that a ventilator associated pneumonia (VAP) bundle significantly decreases VAP rates. In this study, we evaluated existing knowledge, practices, and adherence of nurses and infection control preventionists (ICP) to the VAP bundles of care in the intensive care unit (ICU) by using qualitative and quantitative tools. Of 60 participants (56 nurses and 4 ICPs), mean knowledge score regarding specific evidence-based VAP guidelines was 5 (range 3-8) out of 10 points. Self-reported adherence to the VAP bundle ranged from 38.5 to 100%, with perfect compliance to head of bed elevation, and poorest compliance with readiness to extubate. Overall VAP median bundle compliance was 84.6%. Knowledge regarding specific components of VAP prevention is lacking. Formal training and interactive educational sessions should be performed regularly to assess the competency of key personnel regarding the VAP bundle, especially in the context of rapid nurse turnover. Incentives for retention of nurses should also be considered, so that knowledge of hospital specific initiatives such as the VAP bundles of care can be cultivated over time.

Keywords: Adherence; Bundles of Care; ICU; Infection control; Knowledge; VAP.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Rello J, Afonso E, Lisboa T, et al. A care bundle approach for prevention of ventilator-associated pneumonia. Clin Microbiol Infection. 2013;19(4):363–369. doi: 10.1111/j.1469-0691.2012.03808.x. - DOI - PubMed
    1. Caserta RA, Marra AR, Durão MS, et al. A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting. BMC Infect Dis. 2012;12:234. doi: 10.1186/1471-2334-12-234. - DOI - PMC - PubMed
    1. Ambrocio G, Uy A, Albay A, et al. Quality of implementation of the ventilator associated bundles of care in the University of the Philippines–Philippine General Hospital central intensive care unit and medical intensive unit: a two month prospective survey. Chest. 2014;146(4):496A. doi: 10.1378/chest.1993063. - DOI
    1. Estrella P, Abarquez A, Orden M. Association between implementation of “bundles of care” and possible ventilator associated pneumonia (pVAP) among mechanically ventilated patients in the intensive care unit: a quasi—experimental study. In: Asian Pacific Society of Respirology. Sydney, Australia; 2017.
    1. Jansson MM, Syrjälä HP, Talman K, et al. Critical care nurses' knowledge of, adherence to, and barriers toward institution-specific ventilator bundle. Am J Infect Control. 2018;46(9):1051–1056. doi: 10.1016/j.ajic.2018.02.004. - DOI - PubMed

MeSH terms