See discussions, stats, and author profiles for this publication at: Ventilator-Associated Pneumonia and Role of Nurses in Its PreventionArticleinJNMA; journal of the Nepal Medical Association · October 2017DOI: 10.31729/jnma.3270CITATIONS0READS6644 authors, including:Some of the authors of this publication are also working on these related projects:medical nursingView projectquality of life of parent having children with cancer in nepalView projectChadani WostiChitwan Medical College3PUBLICATIONS0CITATIONSSEE PROFILEAll content following this page was uploaded by Chadani Wosti on 05 April 2018.The user has requested enhancement of the downloaded file.
461JNMA I VOL 56 I ISSUE 208 I OCT-DEC, 2017Ventilator-Associated Pneumonia and Role of Nurses in Its PreventionChadani Osti,1 Deepa Wosti,2 Bimala Pandey,3 Qinghua Zhao11Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China, 2Department of Thoracic Surgery, BPKMCH, Bharatpur 7 Chitwan, Nepal, 3College of Nursing, Nepalese Army Institute of Health Sciences, Bhandarkhal 2, Kathmandu, Nepal.ABSTRACTVentilator-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._______________________________________________________________________________________ ______________________________________Correspondence: Ms. Qinghua Zhao, Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China. Email: [email protected], Phone: +086 18602308866INTRODUCTIONVentilator-associated pneumonia (VAP), a subset of nosocomial pneumonia, is the common infectious complication among intensive care units (ICUs) patients who have been treated with mechanical ventilation for 48 hours or longer, with no prior signs or symptoms of lower respiratory infection before being intubated and treated with mechanical ventilation. Thus, resulting in the substantial increase in hospital costs and length of stay (LOS) for the patients.