Impact and feasibility of an emergency department-based ventilator-associated pneumonia bundle for patients intubated in an academic emergency department

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• 作者：Lawrence A. DeLuca Jr ; EdD ; MD^a ; ^{ldeluca@aemrc.arizona.edu} ; Paul Walsh ; MD^b ; Donald D. Davidson Jr ; MD^a ; Lisa R. Stoneking ; MD^a ; Laurel M. Yang ; MD^c ; Kristi J.H. Grall ; MD^d ; M. Jessica Gonzaga ; RN ; MSN ; NP-C ; CEN^e ; Wanda J. Larson ; RN ; PhD^a ; Uwe Stolz ; PhD^a ; Dylan M. Sabb ; BS^a ; Kurt R. Denninghoff ; MD^a
• 关键词：Ventilator-associated pneumonia ; Hospital-acquired infection ; Infection prevention ; Acute respiratory failure ; Emergency medicine
• 刊名：American Journal of Infection Control
• 出版年：2017
• 出版时间：1 February 2017
• 年：2017
• 卷：45
• 期：2
• 页码：151-157
• 全文大小：670 K
• 卷排序：45

文摘

Ventilator-associated pneumonia prevention is standard care in the intensive care unit, but not yet in the emergency department. Ventilator-associated pneumonia occurs frequently in emergency department intubated patients who may remain in the emergency department for many hours. Starting ventilator-associated pneumonia prevention in the emergency department results in decreased overall and early ventilator-associated pneumonia for these patients. High rates of compliance with an emergency department–based ventilator-associated pneumonia bundle can be achieved. Bundle compliance is improved with a registered nurse (RN) champion.