Recommendations prioritize strategies to prevent ventilator-associated pneumonia

Thousands of critically ill patients on life support develop ventilator-associated pneumonia (VAP) each year. A new document released today by a consortium of professional organizations helps prioritize strategies to prevent this potentially fatal infection.

This guidance, featured in the update of the Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals, is published in the August issue of Infection Control and Hospital Epidemiology and was produced in a collaborative effort led by the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and The Joint Commission. Included in the guidance are specific recommendations for implementation in acute care facilities for adults, pediatric and neonatal patient populations.

"Because the Compendium consists of guidance documents rather than guidelines, we have flexibility to include recommendations where the formal grading of the quality of evidence is relatively low but where experts agree that the potential benefits outweigh potential risks and costs," said Michael Klompas, MD, MPH, a co-lead author with Sean Berenholtz, MD, MHS. "This is especially important for younger patient populations where evidence is sparse."

The guidance includes basic prevention strategies, as well as special approaches that can be considered for hospitals with VAP rates that are not improving despite high performance rates on basic practices. Also included are common attributes of successfully implemented care improvement programs since accountability is necessary to consistent and effective execution of prevention strategies.

Prevention strategies highlighted by the authors include:

  • For adult patients:
    • Avoid intubation if possible.
    • Minimize sedation.
    • Assess readiness to extubate daily.
    • Encourage exercise and mobilization.
    • Use endotracheal tubes with subglottic secretion drainage for high risk patients.
    • Elevate the head of the bed.
  • For pediatric and neonatal patients:
    • Avoid intubation if possible.
    • Minimize the duration of mechanical ventilation.
    • Provide regular oral care (toothbrushing, gauze or sterile water only depending on age).
    • Elevate the head of the bed (pediatric patients only).

The new practice recommendations are a part of Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates, a series of articles sharing evidence-based strategies to help healthcare professionals effectively control and prevent the spread of healthcare-associated infections (HAIs). The 2014 release revises the initial 2008 Compendium publication.

add to favorites email to friend print save as pdf

Related Stories

New strategies to combat MRSA in hospitals

Jun 11, 2014

New guidelines aim to reduce the prevalence of methicillin-resistant Staphylococcus aureus (MRSA), improve patient safety and prioritize current prevention efforts underway in hospitals. This drug resistant bacterium is a c ...

Recommended for you

Dialysis patients may have faulty 'good' cholesterol

9 hours ago

Kidney disease patients on dialysis often have impaired high-density lipoprotein (HDL) or "good" cholesterol, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN) ...

Freshwater algae can infect wounds, study shows

11 hours ago

(HealthDay)—The cases of two men who got injured while enjoying the great outdoors in Missouri and Texas are giving insight into a freshwater algae that can infect wounds.

Biomarker for fatty liver disease

17 hours ago

40 percent of people in the EU suffer from non-alcoholic steatohepatitis (fatty liver disease), a disease which is becoming increasingly more frequent as a result of diabetes and excess weight in an affluent ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.