title: Surveillance of preventive measures for ventilator associated pneumonia (VAP) and its rate in Makkah Region hospitals, Saudi Arabia.
abstract: The present study aimed to assess the VAP rate and to identify VAP prevention activities in public sector hospitals situated in the Makkah Region, Saudi Arabia (SA).
  
  
  
  In this cross-sectional study, the VAP data from 13 public sector hospitals were collected from January to December 2013 and analyzed using SPSS 16.
  
  
  
  The overall VAP rate in Makkah Region hospitals was 6.89 cases per 1000 ventilator-days. There was a significant difference in VAP rate among the hospitals of the Makkah Region (P < 0.001). There was no significant difference in the VAP rate among hospitals, which were using only one, two, or all three VAP preventive approaches (P = 0.26) accredited by the Joint Commission International (JCI) and Central Board for Accreditation of Health Care Institution (CBAHI) (P = 0.12), and using the form in intensive care units (ICUs) (P = 0.85). There was a significant difference in the VAP rate among hospitals having different bed capacities (P < 0.001), data regularly collected (P = 0.03), and had a team to supervise the VAP project (P = 0.04).
  
  
  
  The VAP rate in Makkah Region hospitals is 6.89 cases per 1000 ventilator-days.
authors.affiliation: Department of Thoracic Surgery, Al Noor Specialist Hospital, Makkah, Saudi Arabia.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Banjar
authors.affiliation: Department of Quality Management and Patient Safety, Makkah Region, Saudi Arabia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Felemban
authors.affiliation: Department of General Surgery, Al Noor Specialist Hospital, Makkah, Saudi Arabia.
authors.forename: Khalid
authors.initials: K
authors.lastname: Dhafar
authors.affiliation: Department of Medicine, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Zohair
authors.initials: Z
authors.lastname: Gazzaz
authors.affiliation: Department of Medicine, King Faisal Specialist Hospital, Taif, Saudi Arabia.
authors.forename: Badr
authors.initials: B
authors.lastname: Al Harthi
authors.affiliation: Department of Clinical Biochemistry, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Mukhtiar
authors.initials: M
authors.lastname: Baig
authors.affiliation: Department of ICU, Al Noor Specialist Hospital, Makkah, Saudi Arabia.
authors.forename: Kasim
authors.initials: K
authors.lastname: Al Khatib
authors.affiliation: Department of Quality Management and Patient Safety, Makkah Region, Saudi Arabia.
authors.forename: Jameela
authors.initials: J
authors.lastname: Zakaria
authors.affiliation: Department of Nursing, King Faisal Hospital, Makkah, Saudi Arabia.
authors.forename: Kawther
authors.initials: K
authors.lastname: Hawsawi
authors.affiliation: Department of Nursing, Al Noor Specialist Hospital, Makkah, Saudi Arabia.
authors.forename: Lilma
authors.initials: L
authors.lastname: Isahac
authors.affiliation: Department of Nursing, Hera General Hospital, Makkah, Saudi Arabia.
authors.forename: Arbi
authors.initials: A
authors.lastname: Akbar
mesh_terms: D003430:Cross-Sectional Studies; D006779:Hospitals, Public; D006801:Humans; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology* / Q000517:prevention & control*; D012529:Saudi Arabia / Q000453:epidemiology