22nd of International Intensive Care Symposium, İstanbul, Turkey, 3 - 04 May 2019
OP-229 Acceptance Letter
Effect of ventilator bundle training of health care personnel on ventilator-associated pneumonia
Mehmet Zeki Cakan, Hilmi Demirkiran
Department of Anesthesiology and Reanimation, Van Yuzuncu Yil University, Van,Turkey
INTRODUCTION: The Ventilator Bundle (VB) is an effective method to reduce ventilator-associated pneumonia (VAP) rates in ICUs. In this study, we aimed to investigate the effects of VB training on healthcare personnel with VAP incidence, duration of mechanical ventilation, duration of intensive care unit stay and mortality. MATERIAL METHOD: This study was a prospective case control study and it was initiated after the consent of the Ethics Committee. The study was performed between November 2017 and June 2018 at the Anesthesiology and Reanimation Intensive Care Unit. The study included 68 patients. The control group consisted of 100 patients who underwent VB between January 2016 and June 2017. The Centers for Disease Control (CDC) criteria were used for the diagnosis of VAP. In both groups the difference between were compared statistically.
RESULTS: VB parameters fit to keep the head of the bed at 30-45 fit 100% in the VB group average fit in the control group was 90.67% (85-100%). The relationship between the development of VB was statistically significant between the groups (p = 0.036). The compliance of ETT cuff pressure between 20-25 cmH2O was 97.96% in the VB group and 93.13% in the control group. There was a statistically significant difference between this application and the development of VAP (p = 0.01). In our study, VAP (17.6%) developed in 12 patients. But increase the rate of VAP, mortality rates were not statistically significant.
CONCLUSION: VB did not decrease the incidence of VAP in our clinic. In order to reduce the incidence of VAP in intensive care units, we determined that strict compliance with all parameters of this package should be ensured.