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A targeted educational intervention to reduce ventilator-associated complications

      The optimal approach for the prevention of ventilator-associated complications (VACs) is currently unknown. A retrospective pre–post intervention analysis was conducted to assess a multifaceted educational intervention targeting the most common causes for VACs and VAC risk factors. Results indicated that the addition of this intervention to existing infection control and treatment protocols did not demonstrate a decrease in VAC occurrence or duration of mechanical ventilation.

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      References

        • American Thoracic Society
        • Infectious Diseases Society of America
        Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia.
        Am J Respir Crit Care Med. 2005; 171: 388-416
        • Kollef M.H.
        • Hamilton C.W.
        • Ernst F.R.
        Economic impact of ventilator-associated pneumonia in a large matched cohort.
        Infect Control Hosp Epidemiol. 2012; 33: 250-256
        • Skrupky L.P.
        • McConnell K.
        • Dallas J.
        • Kollef M.H.
        A comparison of ventilator-associated pneumonia rates as identified according to the National Healthcare Safety Network and American College of Chest Physicians criteria.
        Crit Care Med. 2012; 40: 281-284
        • Kollef M.H.
        • Chastre J.
        • Fagon J.Y.
        • François B.
        • Niederman M.S.
        • Rello J.
        • et al.
        Global prospective epidemiologic and surveillance study of ventilator-associated pneumonia due to Pseudomonas aeruginosa.
        Crit Care Med. 2014; 42: 2178-2187
        • Magill S.S.
        • Klompas M.
        • Balk R.
        • Burns S.M.
        • Deutschman C.S.
        • Diekema D.
        • et al.
        Developing a new, national approach to surveillance for ventilator-associated events.
        Crit Care Med. 2013; 41: 2467-2475
        • Boyer A.F.
        • Shoenber N.
        • Babock H.
        • McMullen K.M.
        • Micek S.T.
        • Kollef M.H.
        A prospective evaluation of ventilator associated conditions and infection related ventilator associated conditions.
        Chest. 2015; 147: 68-81
        • Babcock H.M.
        • Zack J.E.
        • Garrison T.
        • Trovillion E.
        • Jones M.
        • Fraser V.J.
        • et al.
        An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects.
        Chest. 2004; 125: 2224-2231
        • Muscedere J.
        • Sinuff T.
        • Heyland D.K.
        • Dodek P.M.
        • Keenan S.P.
        • Wood G.
        • et al.
        The clinical impact and preventability of ventilator-associated conditions in critically ill patients who are mechanically ventilated.
        Chest. 2013; 144: 1453-1460
        • McMullen K.M.
        • Boyer A.F.
        • Schoenberg N.
        • Babcock H.M.
        • Micek S.T.
        • Kollef M.H.
        Surveillance versus clinical adjudication: differences persistent with new ventilator associated event definition.
        Am J Infect Control. 2015; 43: 589-591
        • Kompas M.
        • Anderson D.
        • Trick W.
        • Babcock H.
        • Kerlin M.P.
        • Li L.
        • et al.
        The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative.
        Am J Respir Crit Care Med. 2015; 191: 292-301