J Korean Biol Nurs Sci.  2018 Nov;20(4):205-213. 10.7586/jkbns.2018.20.4.205.

Impact of the Ventilator-associated Pneumonia Bundle in a Medical Intensive Care Unit

• Yoo SY
• Jeong JS
• Choi SH
• Kim MN

• KMID: 2434929
• DOI: http://doi.org/10.7586/jkbns.2018.20.4.205

Abstract

PURPOSE
The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia.
METHODS
This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention.
RESULTS
The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio=4.99, confidence interval=1.63-15.25, p=.004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention.
CONCLUSION
This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.

Keyword

Ventilator-associated pneumonia; Ventilator bundle; Infection control; Intensive care units

MeSH Terms

Compliance
Critical Care*
Incidence
Infection Control
Intensive Care Units*
Korea
Observational Study
Pneumonia, Ventilator-Associated*
Retrospective Studies
Ventilators, Mechanical