Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-19T23:19:12.088Z Has data issue: false hasContentIssue false
  • English
  • Français

Achieving and Sustaining Ventilator-Associated Pneumonia–Free Time among Intensive Care Units (ICUs): Evidence from the Keystone ICU Quality Improvement Collaborative

Published online by Cambridge University Press:  02 January 2015

Dany S. Matar ,
Julius C. Pham ,
Thomas A. Louis  and
Sean M. Berenholtz
Dany S. Matar
Affiliation:
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Julius C. Pham
Affiliation:
Johns Hopkins Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Emergency Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Thomas A. Louis
Affiliation:
Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Sean M. Berenholtz*
Affiliation:
Johns Hopkins Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
*
Johns Hopkins University, Armstrong Institute for Patient Safety and Quality, 750 E. Pratt Street, 15th Floor, Baltimore, MD 21202 (sberenho@jhmi.edu).
Get access Rights & Permissions [Opens in a new window]

Abstract

Our retrospective analysis of the Michigan Keystone intensive care unit (ICU) collaborative demonstrated that adult ICUs could achieve and sustain a zero rate of ventilator-associated pneumonia (VAP) for a considerable number of ventilator and calendar months. Moreover, the results highlight the importance of adjustment for ventilator-days before comparing VAP-free time among ICUs.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 7 , July 2013 , pp. 740 - 743
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Safdar, N, Dezfulian, C, Collard, HR, Saint, S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005;33:2184–2193.Google Scholar
2.Klompas, M. Prevention of ventilator-associated pneumonia. Expert Rev Anti Infect Ther 2010;8:791–800.Google Scholar
3.Pogorzelska, M, Stone, PW, Furuya, EY, et al. Impact of the ventilator bundle on ventilator-associated pneumonia in intensive care unit. Int J Qual Health Care 2011;23:538–544.Google Scholar
4.Wip, C, Napolitano, L. Bundles to prevent ventilator-associated pneumonia: how valuable are they? Curr Opin Infect Dis 2009;22:159–166.Google Scholar
5.O'Keefe-McCarthy, S, Santiago, C, Lau, G. Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews Evid Based Nurs 2008;5:193–204.Google Scholar
6.Klompas, M. Ventilator-associated pneumonia: is zero possible? Clin Infect Dis 2010;51:1123–1126.Google Scholar
7.Marra, AR, Cal, RG, Silva, CV, et al. Successful prevention of ventilator-associated pneumonia in an intensive care setting. Am J Infect Control 2009;37:619–625.Google Scholar
8.Berenholtz, SM, Pham, JC, Thompson, DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidemiol 2011;32:305–314.Google Scholar
9.Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309–332.Google Scholar
10.Ashraf, M, Ostrosky-Zeichner, L. Ventilator-associated pneumonia: a review. Hosp Pract (Minneap) 2012;40:93–105.Google Scholar