Hostname: page-component-848d4c4894-nmvwc Total loading time: 0 Render date: 2024-06-15T08:11:17.801Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of a bundle to prevent hospital-acquired pneumonia in a cohort of nonventilated patients on enteral nutrition

Published online by Cambridge University Press:  27 August 2020

Michelli Cristina Silva de Assis Open the ORCID record for Michelli Cristina Silva de Assis [Opens in a new window] ,
Andreia Barcellos Teixeira Macedo ,
Célia Mariana Barbosa de Souza Martins ,
Loriane Rita Konkewicz ,
Luciana Verçoza Viana ,
Juliana Petri Tavares ,
Aline Castello Branco Mancuso ,
Ninon Girardon da Rosa  and
Rodrigo Pires dos Santos
Michelli Cristina Silva de Assis*
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Andreia Barcellos Teixeira Macedo
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Célia Mariana Barbosa de Souza Martins
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Loriane Rita Konkewicz
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Luciana Verçoza Viana
Affiliation:
Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Juliana Petri Tavares
Affiliation:
Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Aline Castello Branco Mancuso
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Ninon Girardon da Rosa
Affiliation:
Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
Rodrigo Pires dos Santos
Affiliation:
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
*
Author for correspondence: Michelli Cristina Silva de Assis E-mail: mcassis@hcpa.edu.br
Get access Rights & Permissions [Opens in a new window]

Abstract

We conducted a quasi-experimental study to evaluate a bundle to prevent nonventilator hospital-acquired pneumonia (NV-HAP) in patients on enteral tube feeding. After the intervention, there was an increase in bundle compliance from 55.9% to 70.5% (P < .01) and a significant decrease (34%) in overall NV-HAP rates from 5.71 to 3.77 of 1,000 admissions.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 1 , January 2021 , pp. 100 - 102
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Giuliano, KK, Baker, D, Quinn, B. The epidemiology of nonventilator hospital-acquired pneumonia in the United States. Am J Infect Control 2018;46:322–327.CrossRefGoogle ScholarPubMed
Mitchell, BG, Russo, PL, Cheng, AC, et al. Strategies to reduce non–ventilator-associated hospital-acquired pneumonia: a systematic review. Infect Dis Health 2019;24:229–239.CrossRefGoogle ScholarPubMed
Chang, WK, Huang, HH, Lin, HH, Tsai, CL. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding: oropharyngeal dysphagia increases risk for pneumonia requiring hospital admission. Nutrients 2019;11:2969.CrossRefGoogle ScholarPubMed
Wagner, AK, Soumerai, SB, Zhang, F, Ross-Degnan, D. Segmented regression analysis of interrupted time series in medication use research. J Clin Pharm Ther 2002;27:299–309.CrossRefGoogle ScholarPubMed
Baker, D, Quinn, B. Hospital-Acquired Pneumonia Prevention Initiative-2: incidence of nonventilator hospital-acquired in the United States. Am J Infect Control 2018;46:2–7.CrossRefGoogle ScholarPubMed
Tablan, OC, Anderson, LJ, Besser, R, Bridges, C, Hajjeh, R, for the CDC. Healthcare Infection Control Practices Advisory Committee. Guidelines for preventing healthcare-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004;53:1–36.Google ScholarPubMed
Magill, SS, O’Leary, E, Janelle, SJ, et al. Changes in prevalence of healthcare-associated infections in US hospitals. N Engl J Med 2018;379:1732e44.CrossRefGoogle Scholar
Yokoe, DS, Anderson, DJ, Berenholtz, SM, et al, for the Society for Healthcare Epidemiology of America (SHEA). A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 updates. Infect Control Hosp Epidemiol 2014;35:967–977.CrossRefGoogle ScholarPubMed
Klompas, M. Hospital-acquired pneumonia in nonventilated patients: the next frontier. Infect Control Hosp Epidemiol 2016;37:825–826.CrossRefGoogle ScholarPubMed
Lacerna, CC, Patey, D, Block, L, et al. A successful program preventing nonventilator hospital-acquired pneumonia in a large hospital system. Infect Control Hosp Epidemiol 2020;5:547–552.CrossRefGoogle Scholar