Strategies for preventing ventilator-associated pneumonia: an integrative review.

Rev Bras Enferm

Universidade Federal de São Paulo, Escola Paulista de Enfermagem. São Paulo-SP, Brasil.

Published: June 2019

Objective: to identify studies about strategies for prevention of ventilator-associated pneumonia deployed in health services and classify their level of evidence.

Method: integrative review of the literature, in 7 databases, which included the following descriptors: Prevention and Control AND Pneumonia Ventilator-Associated AND Intensive Care Units AND Bundle AND Patient Care.

Results: twenty-three scientific productions were included. Of the preventive measures identified, 9 (39.1%) correspond from three to five strategies. The most frequent were: 22 (95.6%) lying with head elevated, 19 (82.6%) oral hygiene with chlorhexidine and 14 (60.8%) reduction of sedation whenever possible.

Final Consideration: the application of measures based on scientific evidence is proven to be effective when carried out in conjunction, impacting the reduction of the incidence of ventilator-associated pneumonia.

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Source
http://dx.doi.org/10.1590/0034-7167-2018-0473DOI Listing

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