Effect of Implementing Modified Bundle of Care on Early Detection and Prevention of Ventilators Associated Pneumonia

Sayed, Safaa Eid; El Kenany, Hadeer El Sayed; Ahmed, Samah Abdelkhalik; Allam, Zainab A.

doi:10.21608/tsnj.2024.341013

Effect of Implementing Modified Bundle of Care on Early Detection and Prevention of Ventilators Associated Pneumonia

Document Type : Original Article

Authors

¹ Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University Egypt

² Demonstrator of Critical Care and Emergency Nursing Faculty of Nursing, Tanta University Egypt

³ Assist Prof of Anesthesia and Intensive Care, Faculty of Medicine, Tanta University Egypt

⁴ Assist Prof of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University Egypt

10.21608/tsnj.2024.341013

Abstract

Background: Critically ill patients with mechanical ventilator frequently experience
ventilator associated pneumonia, which has devastating effects such as prolongation of
mechanical ventilation, increase length of hospital stay, and increase mortality rate. Aim of
study to evaluate the effect of implementing modified bundle of care on early detection and
prevention of ventilator associated pneumonia in intensive care unit. Design: Quasi-
experimental research design. Setting: Anesthesia Intensive Care Unit, Traumatology and
Emergency Medicine Intensive Care Unit of Emergency hospital affiliated to Tanta
University hospital. Subjects: A convenience sampling of 60 adult critically ill patients who
admitted to the selected setting and divided into two equal groups; 30 patients in each
(control and study groups). Tools: three tools were used, Tool I: Mechanically Ventilated
Patients Assessment, tool II Four Score Level of Consciousness Scale and tool III Indicators
of Ventilator associated pneumonia Assessment Results: A highly significant difference was
detected between the study and control groups regarding VAP incidence after applying
modified ventilator bundle which (P=0.000). The incidence of VAP was 76.67% in the
control group compared with only 23.33% in study group after the 7th day of intervention
with significant differences in which (P=0.00). Conclusion: Applying modified ventilator
bundle had beneficial effect on preventing and decrease the incidence of VAP.
Recommendation: modified ventilator bundle should be incorporated as a part of routine
care of ventilated patients in ICU