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VOLUME 21 , ISSUE 11 ( 2017 ) > List of Articles


Effect of intensive education and training of nurses on ventilator-associated pneumonia and central line-associated bloodstream infection incidence in intensive care unit at a tertiary care center in North India

Vikas Saini, Komal Gandhi, Kulbeer Kaur, Lakshminarayana N. Yaddanapudi

Keywords : Intensive Care Unit, nurses training, patient care bundles, ventilator-associated pneumonia

Citation Information : Saini V, Gandhi K, Kaur K, Yaddanapudi LN. Effect of intensive education and training of nurses on ventilator-associated pneumonia and central line-associated bloodstream infection incidence in intensive care unit at a tertiary care center in North India. Indian J Crit Care Med 2017; 21 (11):779-782.

DOI: 10.4103/ijccm.IJCCM_259_17

License: CC BY-ND 3.0

Published Online: 01-11-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Objective: The aim was to analyze the impact of education and training of nurses on the incidence of ventilator-associated pneumonia (VAP) and central line-associated bloodstream infection (CLABSI). Patients and Methods: A prospective observational study at a tertiary care hospital included adult patients with Intensive Care Unit stay >48 h. The study was done in three phases: in Phase 1, baseline VAP and CLABSI incidence was calculated; in Phase 2, education and training of nurses; and in Phase 3, data were recollected for the incidence of VAP and CLABSI. Results: The baseline incidence of VAP in Phase 1 was 28.86/1000 ventilator days and that of CLABSI was 7.89/1000 central-line days. In Phase 3, the incidence of VAP increased to 35.06 and that of CLABSI decreased significantly, 1.73. Conclusion: Intensive education and training sessions with feedback from nurses over a period of 6 months led to significant reduction in the incidence of CLABSI; however, the incidence of VAP increased.

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  1. Tang HJ, Chao CM, Leung PO, Lai CC. Achieving “zero” CLABSI and VAP after sequential implementation of central line bundle and ventilator bundle. Infect Control Hosp Epidemiol 2015;36:365-6.
  2. Subramanian P, Choy KL, Gobal SV, Mansor M, Ng KH. Impact of education on ventilator-associated pneumonia in the Intensive Care Unit. Singapore Med J 2013;54:281-4.
  3. Cherifi S, Gerard M, Arias S, Byl B. A multicenter quasi-experimental study: Impact of a central line infection control program using auditing and performance feedback in five Belgian Intensive Care Units. Antimicrob Resist Infect Control 2013;2:33.
  4. Righi E, Aggazzotti G, Ferrari E, Giovanardi C, Busani S, Rinaldi L, et al. Trends in ventilator-associated pneumonia: Impact of a ventilator care bundle in an Italian tertiary care hospital Intensive Care Unit. Am J Infect Control 2014;42:1312-6.
  5. Al-Tawfiq JA, Amalraj A, Memish ZA. Reduction and surveillance of device-associated infections in adult Intensive Care Units at a Saudi Arabian hospital, 2004-2011. Int J Infect Dis 2013;17:e1207-11.
  6. Ceballos K, Waterman K, Hulett T, Makic MB. Nurse-driven quality improvement interventions to reduce hospital-acquired infection in the NICU. Adv Neonatal Care 2013;13:154-63.
  7. Hamishehkar H, Vahidinezhad M, Mashayekhi SO, Asgharian P, Hassankhani H, Mahmoodpoor A, et al. Education alone is not enough in ventilator associated pneumonia care bundle compliance. J Res Pharm Pract 2014;3:51-5.
  8. Jam Gatell MR, Santé Roig M, Hernández Vian Ó, Carrillo Santín E, Turégano Duaso C, Fernández Moreno I, et al. Assessment of a training programme for the prevention of ventilator-associated pneumonia. Nurs Crit Care 2012;17:285-92.
  9. Jansson M, Kääriäinen M, Kyngäs H. Effectiveness of educational programmes in preventing ventilator-associated pneumonia: A systematic review. J Hosp Infect 2013;84:206-14.
  10. Nolan SW, Burkard JF, Clark MJ, Davidson JE, Agan DL. Effect of morbidity and mortality peer review on nurse accountability and ventilator-associated pneumonia rates. J Nurs Adm 2010;40:374-83.
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