Long-term trends in ventilator-associated pneumonia (VAP) rates, and other health
care-associated infections, were examined prior to, during, and after introduction
of a VAP bundle in a long-term acute care hospital setting. VAP incidence rate declined
in a step-wise fashion and reached a null value. Incidence rates of bacteremia from
any cause declined in a similar fashion. The incidence rates of vancomycin-resistant
enterococci and methicillin-resistant Staphylococcus aureus colonization or infection rates also decreased, but that of Clostridium difficile infection did not. VAP in the long-term acute care hospital setting can be controlled
over time with implementation of Centers for Disease Control and Prevention-based
VAP bundle. This outcome also may decrease certain other health care-associated infections.
Key Words
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Footnotes
Conflicts of interest: None to report.
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© 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
