Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention

  • Chadani Osti Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China
  • Deepa Wosti Department of Thoracic Surgery, BPKMCH, Bharatpur 7 Chitwan, Nepal
  • Bimala Pandey College of Nursing, Nepalese Army Institute of Health Sciences, Bhandarkhal 2, Kathmandu, Nepal
  • Qinghua Zhao Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China

Abstract

Ventilator-associated pneumonia (VAP) is one of the most frequent nosocomial infections among ventilated patients in ICUs, associated with an increase in days of ICU stay, morbidity, and mortality. Its prevention is a significant concern in every hospital. Most of the interventions and prevention strategies are part of routine nursing care. Nurses have different vital roles such as care provider, manager, educator, coordinator, and evaluator in preventing VAP. Lack of knowledge of infection prevention and proper nursing care among nurses may become a barrier in adhering to evidence-based guidelines for preventing ventilator-associated pneumonia. This study will help nurses to know about VAP and its prevention in detail so that they can apply the knowledge in clinical practice. Understanding pathophysiology of VAP, its risk factors, and care bundle is vital for the proper prevention and treatment of VAP. There must be specific protocols, strategies and active surveillance in every ICU regarding the care bundle.

Keywords:  Mechanical ventilation; Nosocomial infections; Nurses role; Ventilator-associated pneumonia; VAP Prevention.

Published
2017-12-31
Section
Review Article