Strategies for preventing ventilator-associated pneumonia: an integrative review

Autor: Raimunda Xavier Alecrim, Mônica Taminato, Angélica Belasco, Maria Cristina Barbosa Longo, Denise Miyuki Kusahara, Dayana Fram
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2019
Předmět:
Zdroj: Revista Brasileira de Enfermagem, Vol 72, Iss 2, Pp 521-530 (2019)
Druh dokumentu: article
ISSN: 1984-0446
0034-7167
DOI: 10.1590/0034-7167-2018-0473
Popis: ABSTRACT Objective: to identify studies about strategies for prevention of ventilator-associated pneumonia deployed in health services and classify their level of evidence. Method: integrative review of the literature, in 7 databases, which included the following descriptors: Prevention and Control AND Pneumonia Ventilator-Associated AND Intensive Care Units AND Bundle AND Patient Care. Results: twenty-three scientific productions were included. Of the preventive measures identified, 9 (39.1%) correspond from three to five strategies. The most frequent were: 22 (95.6%) lying with head elevated, 19 (82.6%) oral hygiene with chlorhexidine and 14 (60.8%) reduction of sedation whenever possible. Final Consideration: the application of measures based on scientific evidence is proven to be effective when carried out in conjunction, impacting the reduction of the incidence of ventilator-associated pneumonia.
Databáze: Directory of Open Access Journals