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VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT

Background:Ventilator-associated pneumonia (VAP) is the commonest hospital-acquired infection (HAI) in intensive care. The incidence of VAPis the leading cause of HAI in the ICU. In the United States of America, VAPis the second most prevalent HAI with a reported mortality of 40-80%. However, despit...

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Main Authors: Jong, Catherine, Mortell, Manfred
Format: Article
Language:English
Published: THE MALAYSIAN JOURNAL OF NURSING (MJN) 2020
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/34147/1/VENTILATOR%20ASSOCIATED%20PNEUMONIA%20A%20SYSTEMATICAPPRAISAL%20IN%20A%20SAUDI%20ARABIAN%20CONTEXT.pdf
http://ir.unimas.my/id/eprint/34147/
https://ejournal.lucp.net/index.php/mjn/article/view/1179
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spelling my.unimas.ir.341472021-01-29T07:38:03Z http://ir.unimas.my/id/eprint/34147/ VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT Jong, Catherine Mortell, Manfred R Medicine (General) Background:Ventilator-associated pneumonia (VAP) is the commonest hospital-acquired infection (HAI) in intensive care. The incidence of VAPis the leading cause of HAI in the ICU. In the United States of America, VAPis the second most prevalent HAI with a reported mortality of 40-80%. However, despite transparency in the literature on the preventative measures in the preceding decade, the prevalence of VAPremains high in mechanically ventilated patients and increases an ICU patient's confinement by 5-7 days once they developed a VAP.Methods:To determine the incidence, prevalence, and aetiology of VAPand oral care practices in Saudi Arabia, a systemic review of the literature published from the year 2000 till present day was employed. Databases searched included CINAHL, WILEY, PROQUESTand SCIENCE DIRECT. The systematic collection of data was followed by the development of the appraisal protocol which set out the methods in the appraisal This protocol specifies the appraisal question, inclusion and exclusion criteria, databases search strategies, study selection, quality appraisal and data production as well as the individual types of studies sited, appraised and synthesized.Results:The findings from the systematic appraisal indicate that implementing a comprehensive and effective oral care protocol which incorporates both the application of an antiseptic such as Chlorhexidine 0.12% and the clinical practice of tooth-brushing plays an instrumental role in preventing and reducing VAPin the intubated, mechanically ventilated ICU patient.Conclusions:VAPremains a common cause of HAI, but in order to stay current and compliant with knowledge and practical skills, ICU nurses require ongoing evidence-based education, reinforced with evidence-based practice. In addition to encouraging development of a body of knowledge that will advance nursing practice which is clinically safe and effective. THE MALAYSIAN JOURNAL OF NURSING (MJN) 2020-10 Article PeerReviewed text en http://ir.unimas.my/id/eprint/34147/1/VENTILATOR%20ASSOCIATED%20PNEUMONIA%20A%20SYSTEMATICAPPRAISAL%20IN%20A%20SAUDI%20ARABIAN%20CONTEXT.pdf Jong, Catherine and Mortell, Manfred (2020) VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT. THE MALAYSIAN JOURNAL OF NURSING, 12 (2). pp. 58-70. ISSN 2462-246X https://ejournal.lucp.net/index.php/mjn/article/view/1179 10.31674/mjn.2020.v12i02.009
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Jong, Catherine
Mortell, Manfred
VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
description Background:Ventilator-associated pneumonia (VAP) is the commonest hospital-acquired infection (HAI) in intensive care. The incidence of VAPis the leading cause of HAI in the ICU. In the United States of America, VAPis the second most prevalent HAI with a reported mortality of 40-80%. However, despite transparency in the literature on the preventative measures in the preceding decade, the prevalence of VAPremains high in mechanically ventilated patients and increases an ICU patient's confinement by 5-7 days once they developed a VAP.Methods:To determine the incidence, prevalence, and aetiology of VAPand oral care practices in Saudi Arabia, a systemic review of the literature published from the year 2000 till present day was employed. Databases searched included CINAHL, WILEY, PROQUESTand SCIENCE DIRECT. The systematic collection of data was followed by the development of the appraisal protocol which set out the methods in the appraisal This protocol specifies the appraisal question, inclusion and exclusion criteria, databases search strategies, study selection, quality appraisal and data production as well as the individual types of studies sited, appraised and synthesized.Results:The findings from the systematic appraisal indicate that implementing a comprehensive and effective oral care protocol which incorporates both the application of an antiseptic such as Chlorhexidine 0.12% and the clinical practice of tooth-brushing plays an instrumental role in preventing and reducing VAPin the intubated, mechanically ventilated ICU patient.Conclusions:VAPremains a common cause of HAI, but in order to stay current and compliant with knowledge and practical skills, ICU nurses require ongoing evidence-based education, reinforced with evidence-based practice. In addition to encouraging development of a body of knowledge that will advance nursing practice which is clinically safe and effective.
format Article
author Jong, Catherine
Mortell, Manfred
author_facet Jong, Catherine
Mortell, Manfred
author_sort Jong, Catherine
title VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
title_short VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
title_full VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
title_fullStr VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
title_full_unstemmed VENTILATOR ASSOCIATED PNEUMONIA: A SYSTEMATIC APPRAISAL IN A SAUDI ARABIAN CONTEXT
title_sort ventilator associated pneumonia: a systematic appraisal in a saudi arabian context
publisher THE MALAYSIAN JOURNAL OF NURSING (MJN)
publishDate 2020
url http://ir.unimas.my/id/eprint/34147/1/VENTILATOR%20ASSOCIATED%20PNEUMONIA%20A%20SYSTEMATICAPPRAISAL%20IN%20A%20SAUDI%20ARABIAN%20CONTEXT.pdf
http://ir.unimas.my/id/eprint/34147/
https://ejournal.lucp.net/index.php/mjn/article/view/1179
_version_ 1690374993440931840
score 13.211869

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