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AACN Advanced Critical Care:
doi: 10.1097/NCI.0000000000000019
Symposium Guidelines Review and Update

Ventilator-Associated Pneumonia Bundle: Reconstruction for Best Care

Munro, Nancy RN, MN, CCRN, ACNP-BC; Ruggiero, Margaret RN, MS, CCRN, ACNP-BC

Section Editor(s): Rauen, Carol A. RN, MS, CCNS, CCRN, PCCN, CEN, RN-BC - Symposium Editor

Continued Education
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Abstract

The ventilator-associated pneumonia (VAP) bundle is a focus of many health care institutions. Many hospitals are conducting process-improvement projects in an attempt to improve VAP rates by implementing the bundle. However, this bundle is controversial in the literature, because the evidence supporting the VAP interventions is weak. In addition, definitions used for surveillance are interpreted differently than definitions used for clinical diagnosis. The variance in definitions has led to lower reported VAP rates, which may not be accurate. Because of the variance in definitions, the Centers for Disease Control and Prevention developed a ventilator-associated event algorithm. Health care institutions are under pressure to reduce the VAP infection rate, but correctly identifying VAP can be very challenging. This article reviews the current evidence related to VAP and provides insight into implementing a suggested revision of the care of patients being treated with mechanical ventilation.

© 2014 American Association of Critical-Care Nurses

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