title: Determining impacts and factors in ventilator-associated pneumonia bundle.
abstract: Assessing the determining impacts and factors in ventilator-associated pneumonia (VAP) bundle.
  descriptive retrospective longitudinal study, with quantitative approach, held at a public teaching hospital. Collection held between May 2014 and April 2015. Patients of the ICU with VAP participated in the research. For organizing data, the Microsoft Excel 2010 program was used. A critical analysis between the data collected and infection rates was performed. The survey was approved under no. 566,136.
  an increase in the incidence of VAP after implementing the bundle was observed; the prevalent pathogens were gram-negative bacteria. Deaths were equal to or greater than 50%. Changes of professionals and lack of supplies were determining factors.
  in this context, the need for permanent qualification of the team is emphasized, with the purpose of promoting the adherence to the protocol and preventing VAP.
authors.affiliation: Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza-CE, Brasil.
authors.forename: Ana Natesia
authors.initials: AN
authors.lastname: Rodrigues
authors.affiliation: Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza-CE, Brasil.
authors.forename: Luciana Vládia E Cavalhedo
authors.initials: LV
authors.lastname: Fragoso
authors.affiliation: Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza-CE, Brasil.
authors.forename: Francisca de Melo
authors.initials: FM
authors.lastname: Beserra
authors.affiliation: Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza-CE, Brasil.
authors.forename: Islane Costa
authors.initials: IC
authors.lastname: Ramos
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D064872:Patient Care Bundles; D053717:Pneumonia, Ventilator-Associated / Q000191:economics / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult