Osti VAP.pdf - See discussions stats and author profiles for this publication at https\/www.researchgate.net\/publication\/322675842 Ventilator-Associated

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See discussions, stats, and author profiles for this publication at: Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention Article in JNMA; journal of the Nepal Medical Association · October 2017 DOI: 10.31729/jnma.3270 CITATIONS 0 READS 664 4 authors , including: Some of the authors of this publication are also working on these related projects: medical nursing View project quality of life of parent having children with cancer in nepal View project Chadani Wosti Chitwan Medical College 3 PUBLICATIONS 0 CITATIONS SEE PROFILE All content following this page was uploaded by Chadani Wosti on 05 April 2018. The user has requested enhancement of the downloaded file.
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461 JNMA I VOL 56 I ISSUE 208 I OCT-DEC, 2017 Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention Chadani Osti, 1 Deepa Wosti, 2 Bimala Pandey, 3 Qinghua Zhao 1 1 Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China, 2 Department of Thoracic Surgery, BPKMCH, Bharatpur 7 Chitwan, Nepal, 3 College of Nursing, Nepalese Army Institute of Health Sciences, Bhandarkhal 2, Kathmandu, Nepal. 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. _______________________________________________________________________________________ ______________________________________ Correspondence: Ms. Qinghua Zhao, Department of Nursing, Chongqing Medical University First Affiliated Hospital, Chongqing, P.R. China. Email: [email protected], Phone: +086 18602308866 INTRODUCTION Ventilator-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.
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