Ventilator-Associated Pneumonia

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Ventilator-Associated Pneumonia: A Quantitative Research Study
Vanesia Davis Kelly
Grand Canyon University
Intro to Nursing Research-NRS/433V
April 15, 2012

Ventilator-Associated Pneumonia
Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this …show more content…

“Every one-day increase in the usage of mechanical ventilation increased the risk of VAP by 4% (HR = 1.04; 95% CI = 1.00, 1.08; P = 0.030). It was noted that patients with aspiration pneumonia were four times at risk of getting VAP HR = 4.09; 95% CI = 1.24, 13.51; P = 0.021) with poor survival in comparison to patients without aspiration pneumonia. Cancer patients were three times at risk of getting VAP (HR = 2.51; 95% CI = 1.27, 4.97; P = 0.008) in comparison to non-cancer patients (Katherason et al, 2009, p.706)”. Patient with leucocytosis is on day five was at a greater risk to developing VAP. Most researchers does not categories leucocystosis as a risk factor but as an indicator that VAP has or is developing (Katherason et al, 2009). It was concluded that patients have an increased risk of developing VAP if there are multiple risk factors involved. Research has shown that increasing the head of the bed > 30 and proper oral care can prevent ventilator-acquired pneumonia (Ruffell & Adamcova, 2008). Hower Katherason et al (2009) stated that the results of their study proves that increasing head of the bed >30 degrees and proper oral care alone does not prevent VAP. The Human Ethics and Research Committee in Malaysia approved this study. Patient privacy was maintained and permission was granted by administration of the hospitals. The patient or the patients’ close relatives also gave

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