The Effect of Implementing the 3-VAP Prevention Guidelines on Ventilator-Associated Pneumonia among Neurosurgical Patients
Ventilator-Associated Pneumonia in Neurosurgical Patients
Keywords:
Keywords: guidelines, ventilator associated pneumonia, neurosurgical patientsAbstract
Pneumonia is a major complication in patients using mechanical ventilator. This two groups posttest only quasi-experimental research aimed to examine the implementing 3-VAP prevention guideline on occurrence of VAP (ventilator-associated pneumonia) among neurosurgical patients. The samples were patients who had undergone neurosurgery in Phetchabun Hospital. They were 84 participants that divided into two groups: a control group receiving standard care and an experimental group receiving the 3-VAP prevention guideline, with 42 patients in each group. Research instruments included the 3-VAP prevention guideline comprising VAP screening, VAP monitoring, VAP bundle, and CPIS assessment form. The study was conducted from January to October 2024. Data were analyzed using frequency, percentage, mean, SD. Data between groups were compared using Chi-square test, independent t-test, Poisson regression, and Cox proportional hazards regression. The results revealed that incidence of VAP in patients who received the 3-VAP prevention guideline had a significantly lower than those receiving standard care (8.5 vs. 30.1 per 1,000 ventilator days, p = 0.006). However, there were no differences in mortality rate, duration of mechanical ventilation, or length of hospital stay. These findings suggest that the 3-VAP prevention protocol reduce occurrence of VAP and should therefore be implemented in clinical practice. It should also be expanded and suitably adapted to specific characteristics of each patient group, which will consequently reduce the incidence of VAP effectively
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