Journal ArticleDOI
Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia.
Jeanne E. Zack,Teresa Garrison,Ellen Trovillion,Darnetta Clinkscale,Craig M. Coopersmith,Victoria J. Fraser,Marin H. Kollef +6 more
TLDR
A focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections.Abstract:
ObjectiveThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia.DesignPre- and postintervention observational study.SettingFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital.PatientsParead more
Citations
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)
Nilesh M. Mehta,Heather E. Skillman,Sharon Y. Irving,Jorge A. Coss-Bu,Sarah Vermilyea,Elizabeth Anne Farrington,Liam McKeever,Amber M. Hall,Praveen S. Goday,Carol L. Braunschweig +9 more
TL;DR: The guidelines reiterate the importance of nutrition assessment-particularly, the detection of malnourished patients who are most vulnerable and therefore may benefit from timely intervention and there is a need for renewed focus on accurate estimation of energy needs and attention to optimizing protein intake.
Journal ArticleDOI
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).
Robert G. Martindale,Stephen A. McClave,Vincent W. Vanek,Mary McCarthy,Pamela R. Roberts,Beth Taylor,Juan B. Ochoa,Lena M. Napolitano,Gail Cresci +8 more
TL;DR: These guidelines offer basic recommendations that are supported by review and analysis of the current literature, other national and international guidelines, and a blend of expert opinion and clinical practicality that are directed toward generalized patient populations.
Journal ArticleDOI
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient
Stephen A. McClave,Robert G. Martindale,Vincent W. Vanek,Mary McCarthy,Pamela R. Roberts,Beth Taylor,Juan B. Ochoa,Lena Napolitano,Gail A. Cresci +8 more
Journal Article
Guidelines for Preventing Health-Care-- Associated Pneumonia, 2003 Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee
TL;DR: The new guidelines are designed to reduce the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health-care settings (e.g., ambulatory and longterm care institutions) and other facilities where health care is provided.
Journal ArticleDOI
Estimating the Proportion of Healthcare-Associated Infections That Are Reasonably Preventable and the Related Mortality and Costs
Craig A Umscheid,Matthew D. Mitchell,Jalpa A. Doshi,Rajender Agarwal,Kendal Williams,Patrick J. Brennan +5 more
TL;DR: The findings suggest that 100% prevention of HAIs may not be attainable with current evidence-based prevention strategies; however, comprehensive implementation of such strategies could prevent hundreds of thousands of HAI and save tens of Thousands of lives and billions of dollars.
References
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Journal ArticleDOI
National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2003, issued August 2003.
Journal ArticleDOI
The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee.
Jean Louis Vincent,David Bihari,Peter M. Suter,Hajo A. Bruining,Jane White,Marie-Helene Nicolas-Chanoin,Michel Wolff,Robert C. Spencer,Margaret Hemmer +8 more
TL;DR: ICU-acquired infection is common and often associated with microbiological isolates of resistant organisms, and the potential effects on outcome emphasize the importance of specific measures for infection control in critically ill patients.
Journal ArticleDOI
Nosocomial infections in medical intensive care units in the United States. National Nosocomial Infections Surveillance System.
TL;DR: The distribution of sites of infection in medical ICUs differed from that previously reported in NNIS ICU surveillance studies, largely as a result of anticipated low rates of surgical site infections.
Journal ArticleDOI
Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial
Mitra B. Drakulovic,Antoni Torres,Torsten T. Bauer,Jose María Nicolás,Santiago Nogué,Miquel Ferrer +5 more
TL;DR: The semirecumbent body position reduces frequency and risk of nosocomial pneumonia, especially in patients who receive enteral nutrition, especially for patients receivingEnteral nutrition in the supine body position.
Journal ArticleDOI
Epidemiology and Outcomes of Ventilator-Associated Pneumonia in a Large US Database
Jordi Rello,Daniel A. Ollendorf,Gerry Oster,Montserrat Vera-Llonch,Lisa A. Bellm,Rebecca Redman,Marin H. Kollef +6 more
TL;DR: It is demonstrated that VAP is a common nosocomial infection that is associated with poor clinical and economic outcomes and strategies to prevent the occurrence of VAP may not reduce mortality, but they may yield other important benefits to patients, their families, and hospital systems.