Abstract

Evidence-based protocols in the prevention of ventilator-associated pneumonia (VAP) in the intensive care setting have been well established in the adult population. Research studies using adult samples in intensive care have addressed the use of bundles, yet only a few have focused on children admitted to the pediatric intensive care unit (PICU). With issues concerning health care cost metrics and VAP being one of the hospital-acquired infections (HAI), preventative strategies must be equally placed for high-risk children and infants who are intubated and mechanically ventilated.

This paper aims to explore evidence on the use of VAP bundle in the PICU. A thorough review of literature synthesized through critical appraisal will be presented. Quality improvement endeavors, non-experimental and observational research articles are integrated to come up with the best available evidence. As a result, an EBP project, referred to as the ZAP VAP project, will be instituted in a 9-bed PICU located in a large community hospital. A comprehensive description, explanation, and implications of this EBP project will be highlighted in the rest of this paper.

Author Details

Raulin Feria, RN-BC, MSN, BSN, PHN, CPN, CPEN, CCRN

Sigma Membership

Nu Mu

Type

Other

Format Type

Text-based Document

Study Design/Type

Clinical Practice Guideline(s)

Research Approach

Translational Research/Evidence-based Practice

Keywords:

VAP, Ventilator Associated Pneumonia, PICU, Bundled Interventions, Bundle, Pediatric Intensive Care Unit

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Review Type

Peer-review: Single Blind

Acquisition

Self-submission

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