Healthcare associated infections are a major cause of poor outcomes for patients. Ventilator associated-pneumonia, a subset of hospital acquired pneumonia, results in increased patient morbidity and mortality, prolonged length of stay and increased healthcare costs. Up to one quarter of patients requiring mechanical ventilation develop ventilator associated pneumonia.
Ventilator-associated pneumonia can be caused by the migration of microorganisms from colonised endotracheal and/or tracheostomy tubes, direct inoculation via bronchoscopy or other respiratory procedures or by aspiration. Affected patients may have prior underlying lung disease or immune suppression.
Minimising the risk of ventilator associated pneumonia
Intubation and tracheostomy tube insertion should only be undertaken by persons trained and competent in the technique.
ensure mechanical ventilation is absolutely necessary for the patient
keep the duration of mechanical ventilation to the minimum possible - assess for sedation, weaning and extubation daily
intubation and tracheostomy tube insertion should only be undertaken by persons trained and competent in the technique
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