The ventilator-associated pneumonia (VAP) bundle is a focus of many health care institutions. Many hospitals are conducting process-improvement projects in an attempt to improve VAP rates by implementing the bundle. However, this bundle is controversial in the literature, because the evidence supporting the VAP interventions is weak. In addition, definitions used for surveillance are interpreted differently than definitions used for clinical diagnosis. The variance in definitions has led to lower reported VAP rates, which may not be accurate. Because of the variance in definitions, the Centers for Disease Control and Prevention developed a ventilator-associated event algorithm. Health care institutions are under pressure to reduce the VAP infection rate, but correctly identifying VAP can be very challenging. This article reviews the current evidence related to VAP and provides insight into implementing a suggested revision of the care of patients being treated with mechanical ventilation.
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1 April 2014
Symposium Guidelines Review and Update|
April 01 2014
Ventilator-Associated Pneumonia Bundle: Reconstruction for Best Care
Nancy Munro, RN, MN, CCRN, ACNP-BC;
Nancy Munro, RN, MN, CCRN, ACNP-BC
Nancy Munro is Senior Acute Care Nurse Practitioner, National Institutes of Health, Critical Care Medicine Department/Pulmonary Consult Service, 10 Center Dr, Bldg 10-CRC, Room 3-3677, Bethesda, MD 20892 ([email protected]). Margaret Ruggiero is Acute Care Nurse Practitioner, National Institutes of Health, Critical Care Medicine Department/Pulmonary Consult Service, Bethesda, Maryland
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Margaret Ruggiero, RN, MS, CCRN, ACNP-BC
Margaret Ruggiero, RN, MS, CCRN, ACNP-BC
Nancy Munro is Senior Acute Care Nurse Practitioner, National Institutes of Health, Critical Care Medicine Department/Pulmonary Consult Service, 10 Center Dr, Bldg 10-CRC, Room 3-3677, Bethesda, MD 20892 ([email protected]). Margaret Ruggiero is Acute Care Nurse Practitioner, National Institutes of Health, Critical Care Medicine Department/Pulmonary Consult Service, Bethesda, Maryland
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AACN Adv Crit Care (2014) 25 (2): 163–175.
Citation
Nancy Munro, Margaret Ruggiero; Ventilator-Associated Pneumonia Bundle: Reconstruction for Best Care. AACN Adv Crit Care 1 April 2014; 25 (2): 163–175. doi: https://doi.org/10.4037/NCI.0000000000000019
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