Impact of a VAP bundle in Belgian intensive care units
Background: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This repo...
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| creator | Jadot, Laurent Huyghens, Luc de Jaeger, Annik Bourgeois, Marc Biarent, Dominique Higuet, Adeline de Decker, Koen Vander Laenen, Margot Oosterlynck, Baudewijn Ferdinande, Patrick Reper, Pascal Brimioulle, Serge Van Cromphaut, Sophie De Clety, Stéphane Clement Sottiaux, Thierry Damas, Pierre |
| description | Background: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This report will document the impact of this campaign.
Methods: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded.
Results: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30 degrees were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p |
| format | Article |
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Methods: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded.
Results: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30 degrees were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p <= 0.0001).
Conclusion: Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines.</description><identifier>ISSN: 2110-5820</identifier><identifier>EISSN: 2110-5820</identifier><language>eng</language><subject>Belgian ICUs ; DECONTAMINATION ; ICU ; Medicine and Health Sciences ; PREVENTION ; PROGRAM ; QUALITY ; TRIAL ; VAP ; VAP bundle ; VAP survey ; VENTILATOR-ASSOCIATED PNEUMONIA</subject><creationdate>2018</creationdate><rights>Creative Commons Attribution 4.0 International Public License (CC-BY 4.0) info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,315,780,784,4024,27860</link.rule.ids></links><search><creatorcontrib>Jadot, Laurent</creatorcontrib><creatorcontrib>Huyghens, Luc</creatorcontrib><creatorcontrib>de Jaeger, Annik</creatorcontrib><creatorcontrib>Bourgeois, Marc</creatorcontrib><creatorcontrib>Biarent, Dominique</creatorcontrib><creatorcontrib>Higuet, Adeline</creatorcontrib><creatorcontrib>de Decker, Koen</creatorcontrib><creatorcontrib>Vander Laenen, Margot</creatorcontrib><creatorcontrib>Oosterlynck, Baudewijn</creatorcontrib><creatorcontrib>Ferdinande, Patrick</creatorcontrib><creatorcontrib>Reper, Pascal</creatorcontrib><creatorcontrib>Brimioulle, Serge</creatorcontrib><creatorcontrib>Van Cromphaut, Sophie</creatorcontrib><creatorcontrib>De Clety, Stéphane Clement</creatorcontrib><creatorcontrib>Sottiaux, Thierry</creatorcontrib><creatorcontrib>Damas, Pierre</creatorcontrib><title>Impact of a VAP bundle in Belgian intensive care units</title><description>Background: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This report will document the impact of this campaign.
Methods: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded.
Results: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30 degrees were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p <= 0.0001).
Conclusion: Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines.</description><subject>Belgian ICUs</subject><subject>DECONTAMINATION</subject><subject>ICU</subject><subject>Medicine and Health Sciences</subject><subject>PREVENTION</subject><subject>PROGRAM</subject><subject>QUALITY</subject><subject>TRIAL</subject><subject>VAP</subject><subject>VAP bundle</subject><subject>VAP survey</subject><subject>VENTILATOR-ASSOCIATED PNEUMONIA</subject><issn>2110-5820</issn><issn>2110-5820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ADGLB</sourceid><recordid>eNqdi0EKwjAURIMoWLR3-BcopGmr3aoounMhbsNP_G0jMZUm9fxGcOHamcU8GN6EJSLPeVbVgk9_eM5S7-88puJrIYqErU6PJ-oAfQMI180Z1OhulsA42JJtDbqIgZw3LwKNA8HoTPBLNmvQekq_u2DisL_sjlnbkQvSGjWQxiB7NBIH3UVbju3nUiTrKlaUxV_SGxQLQt4</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Jadot, Laurent</creator><creator>Huyghens, Luc</creator><creator>de Jaeger, Annik</creator><creator>Bourgeois, Marc</creator><creator>Biarent, Dominique</creator><creator>Higuet, Adeline</creator><creator>de Decker, Koen</creator><creator>Vander Laenen, Margot</creator><creator>Oosterlynck, Baudewijn</creator><creator>Ferdinande, Patrick</creator><creator>Reper, Pascal</creator><creator>Brimioulle, Serge</creator><creator>Van Cromphaut, Sophie</creator><creator>De Clety, Stéphane Clement</creator><creator>Sottiaux, Thierry</creator><creator>Damas, Pierre</creator><scope>ADGLB</scope></search><sort><creationdate>2018</creationdate><title>Impact of a VAP bundle in Belgian intensive care units</title><author>Jadot, Laurent ; Huyghens, Luc ; de Jaeger, Annik ; Bourgeois, Marc ; Biarent, Dominique ; Higuet, Adeline ; de Decker, Koen ; Vander Laenen, Margot ; Oosterlynck, Baudewijn ; Ferdinande, Patrick ; Reper, Pascal ; Brimioulle, Serge ; Van Cromphaut, Sophie ; De Clety, Stéphane Clement ; Sottiaux, Thierry ; Damas, Pierre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-ghent_librecat_oai_archive_ugent_be_85858243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Belgian ICUs</topic><topic>DECONTAMINATION</topic><topic>ICU</topic><topic>Medicine and Health Sciences</topic><topic>PREVENTION</topic><topic>PROGRAM</topic><topic>QUALITY</topic><topic>TRIAL</topic><topic>VAP</topic><topic>VAP bundle</topic><topic>VAP survey</topic><topic>VENTILATOR-ASSOCIATED PNEUMONIA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jadot, Laurent</creatorcontrib><creatorcontrib>Huyghens, Luc</creatorcontrib><creatorcontrib>de Jaeger, Annik</creatorcontrib><creatorcontrib>Bourgeois, Marc</creatorcontrib><creatorcontrib>Biarent, Dominique</creatorcontrib><creatorcontrib>Higuet, Adeline</creatorcontrib><creatorcontrib>de Decker, Koen</creatorcontrib><creatorcontrib>Vander Laenen, Margot</creatorcontrib><creatorcontrib>Oosterlynck, Baudewijn</creatorcontrib><creatorcontrib>Ferdinande, Patrick</creatorcontrib><creatorcontrib>Reper, Pascal</creatorcontrib><creatorcontrib>Brimioulle, Serge</creatorcontrib><creatorcontrib>Van Cromphaut, Sophie</creatorcontrib><creatorcontrib>De Clety, Stéphane Clement</creatorcontrib><creatorcontrib>Sottiaux, Thierry</creatorcontrib><creatorcontrib>Damas, Pierre</creatorcontrib><collection>Ghent University Academic Bibliography</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jadot, Laurent</au><au>Huyghens, Luc</au><au>de Jaeger, Annik</au><au>Bourgeois, Marc</au><au>Biarent, Dominique</au><au>Higuet, Adeline</au><au>de Decker, Koen</au><au>Vander Laenen, Margot</au><au>Oosterlynck, Baudewijn</au><au>Ferdinande, Patrick</au><au>Reper, Pascal</au><au>Brimioulle, Serge</au><au>Van Cromphaut, Sophie</au><au>De Clety, Stéphane Clement</au><au>Sottiaux, Thierry</au><au>Damas, Pierre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a VAP bundle in Belgian intensive care units</atitle><date>2018</date><risdate>2018</risdate><issn>2110-5820</issn><eissn>2110-5820</eissn><abstract>Background: In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This report will document the impact of this campaign.
Methods: On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded.
Results: Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30 degrees were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p <= 0.0001).
Conclusion: Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines.</abstract><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerNature Journals; PubMed Central Open Access; Springer Nature OA Free Journals; Ghent University Academic Bibliography; PubMed Central |
| subjects | Belgian ICUs DECONTAMINATION ICU Medicine and Health Sciences PREVENTION PROGRAM QUALITY TRIAL VAP VAP bundle VAP survey VENTILATOR-ASSOCIATED PNEUMONIA |
| title | Impact of a VAP bundle in Belgian intensive care units |
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