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Acta pediátrica de México
versión On-line ISSN 2395-8235versión impresa ISSN 0186-2391
Resumen
HERNANDEZ-OROZCO, HG et al. Pilot study, VAP prevention using a bundle in the Intensive Care Unit. Acta pediatr. Méx [online]. 2016, vol.37, n.6, pp.322-327. ISSN 2395-8235. https://doi.org/10.18233/apm37no6pp322-327.
Introduction:
Use of verification bundles an effective strategy for the prevention of ventilator-associated pneumonia (VAP).
Objective:
To determine the feasibility and benefits of applying a verification bundles to prevent VAP.
Methods:
Cross, ambispective pilot study from 2011 to 2013 determining the rate of ventilator-associated pneumonia per 1,000 ventilator-days in that period and applying from 2012 a package of verification to prevent VAP in children with mechanical ventilation in the pediatric intensive care unit.
Results:
Compliance with the parameters evaluated by VAP prevention verification package implemented in 2012 was 66% to 100%, resulting in a decrease in the incidence of VAP of 47% in the period 2011-2012 and 69% 2013, presenting rates VAP of 13.85, 7.29 and 4.3 pneumonias per 1,000 ventilator-days respectively.
Conclusions:
The use of verification package for prevention of pneumonia is applicable and effective in reducing rates of VAP. This involves the commitment and multidisciplinary work of the whole service and a program to carry out this strategy of prevention to infections; the plan is implement this strategy in all intensive care units of the institution.
Palabras llave : ventilator-associated pneumonia; VAP; bundles testing; prevention; pediatrics; effective prevention.