What is VAP and the statistics?

What is VAP and the statistics?

VAP is the second most common nosocomial infection and the leading cause of death from nosocomial infections in critically ill patients 9. Its incidence ranges from 5% to 67% depending on case mix and the diagnostic criteria used 10, and the highest rates are in immunocompromised, surgical, and elderly patients.

How do you calculate vent days?

Thus, if 25 patients were ventilated during the month and, for purposes of example, each was on mechanical ventilation for 3 days, the number of ventilator days would be 25 x 3 = 75 ventilator days for February. The Ventilator-Associated Pneumonia Rate per 1,000 Ventilator Days then would be 12/75 x 1,000 = 160.

How do you calculate VAP?

VAP incidence was calculated as follows: (Number of cases with VAP/Total number of patients who received MVx100) = VAP rate per 100 patients. VAP incidence density was calculated as follows: (Number of cases with VAP/Number of ventilator days) x 1000= VAP rate per 1000 ventilator days [20].

How do you identify VAP?

Diagnosing VAP requires a high clinical suspicion combined with bedside examination, radiographic examination, and microbiologic analysis of respiratory secretions. Aggressive surveillance is vital in understanding local factors leading to VAP and the microbiologic milieu of a given unit.

How is VAP rate calculated?

What is the main cause of VAP?

The common pathogens of VAP are Gram-negative bacilli including Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and Acinetobacter, and Gram-positive cocci such as Staphylococcus aureus. Pseudomonas aeruginosa is the most common pathogen of VAP (Evans et al., 2018; Rhodes et al., 2018).

What is VAP prevention?

To reduce risk for VAP, the following nurse-led evidence-based practices are recommended: reduce exposure to mechanical ventilation, provide excellent oral care and subglottic suctioning, promote early mobility, and advocate for adequate nurse staffing and a healthy work environment.

What are 3 evidence based practices you will need to implement to prevent ventilator-associated pneumonia?

This article reviews the top five evidence-based nursing practices for reducing VAP risk in critically ill adults.

• Minimize ventilator exposure.
• Provide excellent oral hygiene care.
• Coordinate care for subglottic suctioning.
• Maintain optimal positioning and encourage mobility.
• Ensure adequate staffing.

Why is VAP bundle important?

VAP cases are potentially preventable and ventilator bundles are effective to reduce the VAP rates [9–11, 16, 17]. We initiated a bundle for prevention and education on VAP for the first time in our department. This study demonstrates a reduction in the incidence and risk of VAP after the implementation of the bundle.