A Journey to Reduce Possible Ventilator Associated Pneumonia (PVAP) Infections in One Intensive Care Unit

      BACKGROUND: Patients on mechanical ventilation are at risk for numerous complications including pneumonia, pneumothorax, acute respiratory distress syndrome, prolonged hospitalization and an increased risk of mortality. In 2013, the Centers for Disease Control and Prevention (CDC) released new guidelines in an effort to streamline the reporting process. The new definitions provided a standardized, more objective criterion in identifying possible ventilator-associated pneumonia (PVAP) cases and other ventilator-associated events (VAE). In 2014, our facility noted a significant increase in our ventilator-associated event data in our twenty-four (24)-bed Intensive Care Unit (ICU). In 2013, our PVAP rate was 1.03 (n = 1). In 2014, our PVAP rate increased to 4.85 (n = 8).
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