National bundle care program implementation to reduce ventilator-associated pneumonia in intensive care units in Taiwan

for the Infection Control Society of Taiwan

研究成果: Article

2 引文 (Scopus)

摘要

Background/purpose: This study investigated the impact of implementing ventilator-associated pneumonia (VAP) bundle care on the rates of VAP in intensive care units (ICUs) in Taiwan. Methods: A total of 10 ICUs (bed number, 170), including surgical (SICUs) (n = 7), cardiovascular/surgical (CV/S-ICUs) (n = 1), and medical ICUs (MICUs) (n = 2) from 10 hospitals (7 medical center hospitals and 3 regional hospitals) were enrolled in this quality-improvement project. This study was divided into the pre-intervention phase (1st January, 2012–31st July, 2013) and the intervention phase (1st August, 2013–31st October, 2014). Results: Among the 10 hospitals, the overall rates (cases per 1000 ventilator-days) of VAP declined significantly (p = 0.005; rate ratio, 0.71) from 1.9 in the pre-intervention period to 1.5 in the intervention period. Significant difference in VAP rates between these periods was found in the regional hospitals (from 1.6 to 0.7; p < 0.001) and the SICUs (from 2.1 to 1.4; p < 0.001), but not in the medical centers (2.0 vs. 1.9; p = 0.0667) or CV/S-ICUs (4.5 vs. 4.5; p = 0.5391). However, VAP rate increased significantly (cases per 1000 ventilator-days) in the MICUs between the two periods (from 0.5 to 1.0; p = 0.0489). For the VAP bundle care elements, the overall compliance rate was 87.7% with 83.6% and 97.9% in the medical centers and regional hospitals, respectively. Conclusions: Implementing VAP bundle care has effectively reduced VAP in Taiwanese ICUs, but differences in performance and compliance rates of VAP bundle care among the different ICUs and hospital categories did exist.

原文English
頁(從 - 到)592-597
頁數6
期刊Journal of Microbiology, Immunology and Infection
52
發行號4
DOIs
出版狀態Published - 2019 八月

指紋

Patient Care Bundles
Ventilator-Associated Pneumonia
Taiwan
Intensive Care Units
Mechanical Ventilators
Quality Improvement

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology and Microbiology(all)
  • Microbiology (medical)
  • Infectious Diseases

引用此文

@article{9626b39959f04249b8ffdb9b8a552dfe,
title = "National bundle care program implementation to reduce ventilator-associated pneumonia in intensive care units in Taiwan",
abstract = "Background/purpose: This study investigated the impact of implementing ventilator-associated pneumonia (VAP) bundle care on the rates of VAP in intensive care units (ICUs) in Taiwan. Methods: A total of 10 ICUs (bed number, 170), including surgical (SICUs) (n = 7), cardiovascular/surgical (CV/S-ICUs) (n = 1), and medical ICUs (MICUs) (n = 2) from 10 hospitals (7 medical center hospitals and 3 regional hospitals) were enrolled in this quality-improvement project. This study was divided into the pre-intervention phase (1st January, 2012–31st July, 2013) and the intervention phase (1st August, 2013–31st October, 2014). Results: Among the 10 hospitals, the overall rates (cases per 1000 ventilator-days) of VAP declined significantly (p = 0.005; rate ratio, 0.71) from 1.9 in the pre-intervention period to 1.5 in the intervention period. Significant difference in VAP rates between these periods was found in the regional hospitals (from 1.6 to 0.7; p < 0.001) and the SICUs (from 2.1 to 1.4; p < 0.001), but not in the medical centers (2.0 vs. 1.9; p = 0.0667) or CV/S-ICUs (4.5 vs. 4.5; p = 0.5391). However, VAP rate increased significantly (cases per 1000 ventilator-days) in the MICUs between the two periods (from 0.5 to 1.0; p = 0.0489). For the VAP bundle care elements, the overall compliance rate was 87.7{\%} with 83.6{\%} and 97.9{\%} in the medical centers and regional hospitals, respectively. Conclusions: Implementing VAP bundle care has effectively reduced VAP in Taiwanese ICUs, but differences in performance and compliance rates of VAP bundle care among the different ICUs and hospital categories did exist.",
author = "{for the Infection Control Society of Taiwan} and Kao, {Chin Chuan} and Chiang, {Hsiu Tzy} and Chen, {Chih Yu} and Hung, {Ching Tzu} and Chen, {Ying Chun} and Su, {Li Hsiang} and Shi, {Zhi Yuan} and Liu, {Jein Wei} and Liu, {Chang Pan} and Chuang, {Yin Ching} and Ko, {Wen Chien} and Chen, {Yen Hsu} and Tseng, {Shu Hui} and Lee, {Chun Ming} and Lu, {Min Chi} and Hsueh, {Po Ren}",
year = "2019",
month = "8",
doi = "10.1016/j.jmii.2017.11.001",
language = "English",
volume = "52",
pages = "592--597",
journal = "Journal of Microbiology, Immunology and Infection",
issn = "1684-1182",
publisher = "Elsevier Taiwan LLC",
number = "4",

}

National bundle care program implementation to reduce ventilator-associated pneumonia in intensive care units in Taiwan. / for the Infection Control Society of Taiwan.

於: Journal of Microbiology, Immunology and Infection, 卷 52, 編號 4, 08.2019, p. 592-597.

研究成果: Article

TY - JOUR

T1 - National bundle care program implementation to reduce ventilator-associated pneumonia in intensive care units in Taiwan

AU - for the Infection Control Society of Taiwan

AU - Kao, Chin Chuan

AU - Chiang, Hsiu Tzy

AU - Chen, Chih Yu

AU - Hung, Ching Tzu

AU - Chen, Ying Chun

AU - Su, Li Hsiang

AU - Shi, Zhi Yuan

AU - Liu, Jein Wei

AU - Liu, Chang Pan

AU - Chuang, Yin Ching

AU - Ko, Wen Chien

AU - Chen, Yen Hsu

AU - Tseng, Shu Hui

AU - Lee, Chun Ming

AU - Lu, Min Chi

AU - Hsueh, Po Ren

PY - 2019/8

Y1 - 2019/8

N2 - Background/purpose: This study investigated the impact of implementing ventilator-associated pneumonia (VAP) bundle care on the rates of VAP in intensive care units (ICUs) in Taiwan. Methods: A total of 10 ICUs (bed number, 170), including surgical (SICUs) (n = 7), cardiovascular/surgical (CV/S-ICUs) (n = 1), and medical ICUs (MICUs) (n = 2) from 10 hospitals (7 medical center hospitals and 3 regional hospitals) were enrolled in this quality-improvement project. This study was divided into the pre-intervention phase (1st January, 2012–31st July, 2013) and the intervention phase (1st August, 2013–31st October, 2014). Results: Among the 10 hospitals, the overall rates (cases per 1000 ventilator-days) of VAP declined significantly (p = 0.005; rate ratio, 0.71) from 1.9 in the pre-intervention period to 1.5 in the intervention period. Significant difference in VAP rates between these periods was found in the regional hospitals (from 1.6 to 0.7; p < 0.001) and the SICUs (from 2.1 to 1.4; p < 0.001), but not in the medical centers (2.0 vs. 1.9; p = 0.0667) or CV/S-ICUs (4.5 vs. 4.5; p = 0.5391). However, VAP rate increased significantly (cases per 1000 ventilator-days) in the MICUs between the two periods (from 0.5 to 1.0; p = 0.0489). For the VAP bundle care elements, the overall compliance rate was 87.7% with 83.6% and 97.9% in the medical centers and regional hospitals, respectively. Conclusions: Implementing VAP bundle care has effectively reduced VAP in Taiwanese ICUs, but differences in performance and compliance rates of VAP bundle care among the different ICUs and hospital categories did exist.

AB - Background/purpose: This study investigated the impact of implementing ventilator-associated pneumonia (VAP) bundle care on the rates of VAP in intensive care units (ICUs) in Taiwan. Methods: A total of 10 ICUs (bed number, 170), including surgical (SICUs) (n = 7), cardiovascular/surgical (CV/S-ICUs) (n = 1), and medical ICUs (MICUs) (n = 2) from 10 hospitals (7 medical center hospitals and 3 regional hospitals) were enrolled in this quality-improvement project. This study was divided into the pre-intervention phase (1st January, 2012–31st July, 2013) and the intervention phase (1st August, 2013–31st October, 2014). Results: Among the 10 hospitals, the overall rates (cases per 1000 ventilator-days) of VAP declined significantly (p = 0.005; rate ratio, 0.71) from 1.9 in the pre-intervention period to 1.5 in the intervention period. Significant difference in VAP rates between these periods was found in the regional hospitals (from 1.6 to 0.7; p < 0.001) and the SICUs (from 2.1 to 1.4; p < 0.001), but not in the medical centers (2.0 vs. 1.9; p = 0.0667) or CV/S-ICUs (4.5 vs. 4.5; p = 0.5391). However, VAP rate increased significantly (cases per 1000 ventilator-days) in the MICUs between the two periods (from 0.5 to 1.0; p = 0.0489). For the VAP bundle care elements, the overall compliance rate was 87.7% with 83.6% and 97.9% in the medical centers and regional hospitals, respectively. Conclusions: Implementing VAP bundle care has effectively reduced VAP in Taiwanese ICUs, but differences in performance and compliance rates of VAP bundle care among the different ICUs and hospital categories did exist.

UR - http://www.scopus.com/inward/record.url?scp=85035315492&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85035315492&partnerID=8YFLogxK

U2 - 10.1016/j.jmii.2017.11.001

DO - 10.1016/j.jmii.2017.11.001

M3 - Article

C2 - 29198953

AN - SCOPUS:85035315492

VL - 52

SP - 592

EP - 597

JO - Journal of Microbiology, Immunology and Infection

JF - Journal of Microbiology, Immunology and Infection

SN - 1684-1182

IS - 4

ER -