[Evaluation of a mechanical ventilation associated pneumonia prevention program: results after one year].
BACKGROUND
With the aim of improving healthcare quality and safety of the patient, a multidisciplinary program was introduced and directed at the prevention of Mechanical Ventilation Associated Pneumonia (MVAP), following a continuous improvement cycle of PDCA (Plan, Do, Check, Adjust). An analysis of the measures applied is presented.


OBJECTIVE
Evaluation of the MVAP prevention program: theoretical knowledge, and fulfilment of the measures proposed. Analysis of the annual MVAP variation.


METHODS
Acquired knowledge was evaluated through questionnaires. The results of the fulfilment of the measures proposed (elevation of the bed headboard, optimal pressure of the cuff, and oral hygiene) were analysed through monthly audits. Calculation of annual rate of MVAP and respiratory infections.


RESULTS
The knowledge of MVAP and its prevention had improved (P<.05). Preventive measures: Significant difference in the maintenance of headboard at >30° (P<.05) and in the performing of oral hygiene (P<.05). Improvement in the maintenance of cuff pressure between 20 and 30cm H2O (P=.13). Decline and stabilization of yearly rate of MVAP (0.7%).


CONCLUSIONS
The introduction of a training program and of a set of preventive non-pharmacological measures decreased the incidence of MVAP.
Unidad de Cuidados Intensivos A, Complejo Hospitalario de Navarra, Pamplona, Navarra, España. teresagarciaaraguas@hotmail.com
T
T
García Araguas
I
I
Irigoyen Aristorena
C
C
Zazpe Oyarzun
B
B
Baztán Madoz
J
J
Barado Hugalde
D006282:Health Personnel / Q000193:education*; D006801:Humans; D015994:Incidence; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology / Q000517:prevention & control*; D015397:Program Evaluation; D013997:Time Factors