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2014, Number 1

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Med Crit 2014; 28 (1)

Risk factors for development ventilator associated pneumonia in Hospital Ángeles Lomas Intensive Care Unit

Jacinto TAB, Hernández LA, Vázquez MJP, Videgaray F, Sierra UA

Language: Spanish
References: 28
Page: 20-27
PDF size: 240.52 Kb.


ABSTRACT

Objective: To identify risk factors for development ventilator associated pneumonia in Hospital Angeles Lomas Intensive Care Unit.
Material and methods: A retrospective, observational, case-control study, realized in the Hospital Angeles Lomas Intensive Care Unit. Inclusion criteria were all patients admitted to the Intensive Care Unit during the period of January 1, 2010 to March 31, 2013 and required mechanical ventilation for more than 48 hours.
Results: Were included 115 patients and divided into two groups: a group with ventilator associated pneumonia (11.3%) and non- ventilator associated pneumonia group (88.6%). The main risk factors for ventilator associated pneumonia were prolonged intubation with OR 5.61 and 95% CI 1.45 to 21.68 (p ‹ 0.001) and re-intubation with OR 5.8, 95%, CI: 1.70 to 20.19 (p ‹ 0.05). The highest incidence of ventilator associated pneumonia was in 2011 with 24 per 1000 days of mechanic ventilation and this decreased to 3.25 in 2012, in which there was a care bundle with six ventilator associated pneumonia prevention measures.
Conclusions: In the present study, the main risk factors for development of ventilator associated pneumonia are prolonged intubation and re-intubation. Also a care bundle with six prevention strategies decreases the incidence of ventilator associated pneumonia.


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