Clinical Study On Ventilator Care Bundle Fine Management In Prevention Of Ventilator-associated Pneumonia

Objective:To analyze the effect of the ventilator care bundle fine management in prevention of ventilator-associcated peneumonia (VAP), explore with simple methods for reduce the incidence of VAP and provide guidance for VAP prevention in clinical. Methods:A total of 129 untreated ICU cases who entered the 2013 were divided in to test and control groups randomly.55 patients of test group were given ventilator care bundle (VCB) that including lifted the head of a bed to an angel of 30～45°, daily wake-up plan, the prevention of digestive tract ulcers, the prevention of deep venous thrombosis, meanwhile, the chlorine oral nursing care, attracting of subglottic and vibratory sputum ejection were given, calls ventilator care bundle fine management group. While 74 patients of control group were just given ventilator care bundle. The incidence of VAP, mechanical ventilation duration, antibiotic use time and ICU stay between the 2 groups were compared, And Analysis of patients with VAP pathogenic bacteria constitute. Results:As compared with the experiment group, the incidence of VAP decreased from 35.1% to 18.1% after ad opting the modified bundle strategies (P<0.05). there was a significant reduce in the experiment group of the duration of mechanical ventilation, Antibiotic use time and ICU stay (P<0.05). Gram-negative bacillus was the main pathogen of VAP. Conclusion:ventilator care bundle fine management can effectively reduce the incidence of VAP and the experiment group of the duration of mechanical ventilation, Antibiotic use time and ICU stay.