Ventilator Associated Pneumonia
Conditions
Keywords
newborn
Brief summary
This study is designed to investigate the effect of educational program for nurses about preventive care bundle for prevention of ventilator associated pneumonia among newborns.
Detailed description
Neonatal ventilator associated pneumonia (VAP) is a common nosocomial infection and a frequent reason for empirical antibiotic therapy in NICUs. Ventilator associated pneumonia (VAP) is defined as a nosocomial lower airway infection in intubated patients with onset after 48 h or more of invasive mechanical ventilation.Prevention of VAP has been primarily achieved by the bundle approach; this involves the simultaneous application of several preventive strategies for all patients.In Egypt and other developing countries, reports on the success of VAP intervention strategies, particularly among neonates, are scarce. So, it is important to conduct educational programs for nurses about VAP to decrease its incidence.
Interventions
OTHEReducational program about VAP
An educational program about VAP that includes VAP bundle from CDC as core measures , equipment related measures and general measures.
Sponsors
Damanhour University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
A prospective, quasi-experimental, pre- and post-study with a one month baseline period; one month intervention period and three months post-intervention period
Eligibility
Sex/Gender
ALL
Age
3 Days to 30 Days
Healthy volunteers
No
Inclusion criteria
* Gestational age ≥34 weeks * Intubated newborns and those expected to receive mechanical ventilation for more than 48 hours.
Exclusion criteria
* Newborns with diagnosis of pneumonia at the time of admission. * Newborns developed pneumonia in the first 48 hours of mechanical ventilation. * Newborns subjected to reintubation. * Immunosuppressed newborns.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevalence of VAP among newborns ( the number of newborns diagnosed with VAP during the study period | before intervention as baseline ( Day 1), immediately after the intervention, 3 months later after intervention | prevalence of VAP will be compared before application of educational program for nurses about preventive care bundle for prevention of VAP and after the program ( immediately, 3 months later) by using centers for disease control and prevention PNU-1 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| nurses practices about prevention of ventilator associated pneumonia after implementing the training program will be compared by their practices before the intervention using Observational Checklist | before intervention as baseline(Day 1), immediately after the intervention, 3 months later after intervention | nurses practices will be assessed before and after the intervention immediately and 3 months later using Observational Checklist about their practices and then results compared before and after the intervention by mean percent score |
Contacts
Primary ContactBasma Ibrahim Khamis, Doctoral
Outcome results
None listed