Compliance and Association of Ventilator Associated Pneumonia Bundle Strategy With Ventilator Associated Pneumonia rate: A Saudi Experience

Abstract

Objectives: To evaluate the effectiveness and compliance of Ventilator Associated Pneumonia(VAP) care bundle in local setting at Erfan & Bagedo General hospital, Jeddah, KSA. Materials and Methods: The study was a Quasi experimental before and after observation type of study, in which VAP care bundle was implemented to the ventilated patients without any control group. It was conducted from February 2010 to January 2011. Results: Out of a total of 3011 patient ventilator days, 18 patient developed VAP. Number of VAP care bundle implementation increased from 42 (17.36%) in February 2010 to 315 (91.8%) in October 2010. However the implementation rate was 100% during November, December 2010 and January 2011. VAP rate dropped from 8.85/1000 ventilator days in February 2010 to 3.15 in January 2011. Conclusion: There was a strong negative correlation between proportion of implementation of VAP care bundle and VAP rate (r= - 0.534 p value=0.037 for one tailed test). Adopting VAP care bundle approach may help in reducing the morbidity and mortality in the ventilated patients.