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Kimberly-Clark offers a range of clinical solutions to help address the risk factor associated with the development of VAP, including:

Kimberly–Clark* MICROCUFF* Endotracheal Tube

Kimberly-Clark* KIMVENT* 24?Hour Oral Care Kit (q4)

Kimberly–Clark* “Mini–BAL” Diagnostic Catheter

Kimberly–Clark* TRACH CARE* Closed–Suction System


Ventilator–associated pneumonia (VAP) is one of the top three infection concerns of clinicians today; it may account for up to 60% of all deaths from healthcare-associated infections (HAIs) in the U.S.1 Other key U.S. statistics include:

  • Approximately 8–28% of critical care patients develop VAP2
  • Healthcare–associated pneumonia patients have a mortality rate of 20% to 33%1
  • VAP increases patient time in the ICU by 4 to 6 days1
  • Each incidence of VAP is estimated to generate an increased cost of $20,000 to $40,0001

VAP is a global issue. In Germany, between 2001 and 2005, 5.72% of ICU patients developed VAP.3  According to recent statistics, 9.2% of ICU patients in France develop ICU–acquired pneumonia.4  And in the UK, hospital–acquired lower respiratory tract infection adds an average of 12 days to hospital stays, at an average additional cost of $4,149 per patient.5

The CDC's National Nosocomial Infection Surveillance System (NNIS) reported that in 2002, patients receiving continuous mechanical ventilation had 6–21 times the risk of developing healthcare–associated pneumonia compared with patients who were not receiving mechanical ventilation. Because of this tremendous risk, in the last two decades, most of the research on healthcare–associated pneumonia has been focused on VAP.6

1.CDC. Guidelines for Preventing Healthcare–Associated Pneumonia, 2003. Recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2004; 53 (No. RR–3).
2.Chastre J, Fagon J. Ventilator–associated pneumonia. Crit Care Med. 2002; 165:867–903.
3.Source: KISS Krankenhaus–Infektions–Surveillance–System. Modul ITS–KISS. http://www.nrz-hygiene.de/dwnld/ITS_reference_200512.pdf
4.Source: HELICS Implementation Phase II, Final Report, March 2005
5.The Socio–economic Burden of Hospital Acquired Infection. Executive Summary. Public Health Laboratory Service. 1999

6. http://www.cdc.gov/ncidod/dhqp/dpac_ventilate.html



Clinical Education (CEs and CMEs)
  • The Nurses Role in the Prevention & Diagnosis of VAP
  • Oral Care Is Critical Care (Study Guide)
  • Microaspiration and the Risk of VAP: Endotrachael Tube Considerations
  • Ventilator-Associated Pneumonia (VAP) Best Practice Strategies for Caregivers (Study Guide)
  • Strategies for the Diagnosis of VAP with Expanded Description of Blind Mini-BAL Methods (Study Guide)
  • The Clinical Issue #3: Oral Care Is Critical Care
  • Addressing HAIs Sources Part III: Ventilator- Associated Pneumonia
  • Oral Care is Critical Care

    More Clinical Education...

    Resources & Tools
  • Ventilator-Associated Pneumonia (VAP) Best Practice Strategies for Caregivers (Study Guide)
  • Oral Care Is Critical Care (Study Guide)
  • Strategies for the Diagnosis of VAP with Expanded Description of Blind Mini-BAL Methods (Study Guide)
  • The Clinical Issue #3: Oral Care Is Critical Care
  • Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention
  • CDC Hand Hygiene Guidelines

    Read more Resources and Tools...

    Research & Reports
  • Probiotic Prophylaxis of Ventilator-associated Pneumonia: A Blinded, Randomized, Controlled Trial (Respiratory and Critical Care Medicine)
         

    Lee E. Morrow of Creighton University and colleagues have discovered that cases of ventilator-associated pneumonia in critically ill patients in hospitals were cut in half after patients were given probiotic bacteria. The study involved 138 critically ill patients from a single hospital, who were either given placebo or the probiotic Lactobacillus rhamnosus. Donald Craven of the Lahey Clinic Medical Center in Burlington, Mass., said the results "hold promise for trying to prevent an infection that has serious morbidity, mortality and is a major factor for hospital costs that we’re trying to contain."

    Read More
  • Hospital-Acquired Infections Due to Gram-Negative Bacteria (New England Journal of Medicine)
         

    The New England Journal of Medicine published findings from researchers at Massachusetts General Hospital that suggested gram-negative bacteria play a significant role in about 30 percent of hospital-acquired infections in the U.S. The findings showed that such bacteria were the predominant players in 47 percent of ventilator-associated pneumonia cases and 45 percent of urinary tract infections. The researchers noted that almost any gram-negative bacteria can cause bloodstream infection if an adequate portal of entry is present.

    Read More
  • Study: Overblown Cuffs Common (Anesthesiology News)
         

    Cuff pressures for endotracheal tubes may be too high during surgery, according to a new study by British investigators who are calling for routine monitoring of the devices in the operating room.

    The study, by anesthesiologists at University College London, found that endotracheal tube (ETT) cuff pressures averaged 41 cm H2O—16 cm H2O greater than the recommended maximum level of 25 cm H2O in the United Kingdom. Pressures that high could increase patients’ risk for sore throat, hoarseness and difficulty swallowing.

    Read More
  • Flu/Cold/Respiratory Activity Notification
         

     

    The  FAN Report includes:
     
    ·         Incidence tracking at National, Adult and Pediatric Age Breaks
    ·         Three Pediatric Age Breaks: 0-2,  3-5 & 6-12
    ·         Market coverage representing total US , Nine Census regions and 135  Key Markets
    ·         Projections across all markets  and Reporting 52 weeks per year
    ·         National and Nine Census Region Symptom Trends for National, Adult and Pediatric Age Groups
    ·         Adult and Pediatric Symptom Trends include:
     
    - Cough                 - Nasal Congestion             - Sore Throat
    - Ear Ache            - Fever                                   - Influenza-Like-Illness (ILI)
     
    ·         Long range Projections for Calendar 4th QTR.
    ·         First and Second Quarter Illness Projections
    ·         Rolling four-week Projections at National, Adult and Pediatric
     

     

     

     

    Download Excel
  • Clinical and economic consequences of ventilator-associated pneumonia: A systematic review Safdar, MD, et al
         
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  • Guidelines for Prevention, Diagnosis and Treatment of Ventilator-Associated Pneumonia (VAP) in the Trauma Patient
         Inflammation and the Host Response to Injury, a Large–Scale Collaborative Project: Patient–Oriented Research Core—Standard Operating Procedures for Clinical Care.
    Read More
  • State of the Art: Ventilator-associated Pneumonia. Jean Chastre and Jean-Yves Fagon
         
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    Read more healthcare associated infection research and reports...
     
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