Evaluation of prevention of ventilator-associated infections in four Australian intensive care units

Ciampoli, Natasha, Bouchoucha, Stephane, Currey, Judith and Hutchinson, Ana 2020, Evaluation of prevention of ventilator-associated infections in four Australian intensive care units, Journal of infection prevention, vol. 21, no. 4, pp. 147-154, doi: 10.1177/1757177420908006.

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Title Evaluation of prevention of ventilator-associated infections in four Australian intensive care units
Author(s) Ciampoli, Natasha
Bouchoucha, StephaneORCID iD for Bouchoucha, Stephane orcid.org/0000-0001-7066-0133
Currey, JudithORCID iD for Currey, Judith orcid.org/0000-0002-0574-0054
Hutchinson, AnaORCID iD for Hutchinson, Ana orcid.org/0000-0002-0014-689X
Journal name Journal of infection prevention
Volume number 21
Issue number 4
Start page 147
End page 154
Total pages 8
Publisher SAGE Publications
Place of publication London, England
Publication date 2020-07
ISSN 1757-1774
1757-1782
Keyword(s) Hospital-acquired infections
Pneumonia
Ventilator-associated
Cross-infection
Hand hygiene
Translational medical research
Critical care nursing
Summary Background: Effective approaches to practice improvement require development of tailored interventions in collaboration with knowledge users.
Objectives: To explore critical care nurses’ knowledge and adherence to best practice guidelines for management of patients with an artificial airway to minimise development of ventilator-associated pneumonia.
Methods: A cross-sectional study was undertaken across four intensive care units that involved three phases: (1) survey of critical care nurses regarding their current practice; (2) observation of respiratory care delivery; and (3) chart audit. Key care processes evaluated were: (1) technique and adherence to standard precautions when performing endotracheal suction, cuff pressure checks and extubation; and (2) frequency of endotracheal suctioning and mouth care. Observational and chart audit data on the provision and documentation of respiratory care were collected for 36 nurse/patient dyads. Forty-six nurses were surveyed and the majority responded that endotracheal suctioning and mouth care should be performed ‘as required’ or every 2 hours (h). During observations of practice, no patient received mouth care every 2 h, nor had documentation of such. Inconsistent adherence to standard precautions and hand hygiene during respiratory care provision was observed. Chart audit indicated that nurses varied in the frequency of suctioning consistent with documented clinical assessment findings.
Conclusion: Although nurses had good knowledge for the management of artificial airways, this was not consistently translated into practice. Gaps were identified in relation to respiratory related infection prevention, the prevention of micro-aspiration of oropharyngeal secretions and in the provision of mouth care.
Language eng
DOI 10.1177/1757177420908006
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30137127

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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