Bir Üçüncü Basamak Hastanenin Yoğun Bakım Ünitelerinde Ventilatör İlişkili Pnömoni Önleme Demetlerinin Ventilatör İlişkili Olay Oranlarına Etkisi.

Background: It has been shown that the incidence of VAP decreases with compliance with ventilator-associated pneumonia (VAP) precautionary bundles. However, the effect of these bundles on the incidence of ventilatorrelated events (VIO) is still controversial. The aim of this study is to investigate the incidence of VIO and compliance with the VAP prevention bundle in a certain period in the intensive care units (ICU) of a training and research hospital. Materials and Methods: This is a prospective observational case-control study investigating the incidence of VIO and compliance with VAP prevention bundles between April and June 2019 in ICUs of a tertiary education and research hospital. VAP prevention bundle created; The incidence of VIO was determined according to the 2013 United States Centers for Disease Control and Prevention (CDC) surveillance criteria. The effects of patient characteristics and distribution of patients in ICUs on the development of VIO were investigated. Results: The study was completed with 98 patients. It was determined that the rate of compliance with VAP prevention bundles varied between 65% and 85% among ICUs. It has been shown with other important risk factors that every 10% decrease in compliance with the VAP prevention bundle increases the risk of developing VIO. Conclusions: According to the 2013 CDC criteria, the incidence of VIO in the ICUs of our hospital is 20.4%. The risk of developing VIO increases with low compliance with the VAP prevention bundle, patient characteristics, and many factors arising from ICU treatments. Differences in ICUs in terms of compliance with VIP measure bundles show the necessity of training activities on the subject. [ABSTRACT FROM AUTHOR]