Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

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

BRIEF COMMUNICATION

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, Lakshminarayana N. Yaddanapudi

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

Citation Information : Saini V, Gandhi 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: 01-06-2012

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

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.


PDF Share
  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.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.