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  1. Sep 2023
  2. www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
    The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs:A Systematic Review
    5
    1. abigailclaus 21 Sep 2023
      Oralcare remains an important tool for dental plaque removal and the promotion of a normalmicrobial community inside the oral cavity, thus preventing the growth of microorganismsin the trachea and the creation of VAP

      Oral care is often something that is overlooked in the ICU patient with mouth care being perceived more as a comfort measure than as a crucial aspect of infection prevention. Adequate and consistent oral care will prevent respiratory complications and assist in overall wellbeing. - AC, SM

    2. abigailclaus 21 Sep 2023
      VAP diagnostic criteriadiffer among ICUs but usually require factors such as fever, leukocytosis, progressiveinfiltrate on chest X-ray, positive cultures from respiratory secretions and reduction in gasexchange [1,9].

      The symptoms of VAP are important to know so that they could be recognized in this situation. A chest x-ray should be done frequently to determine severity, and culture and sensitivity should be completed for antibiotic therapy. - AC, SM

    3. abigailclaus 21 Sep 2023
      with three ofthem adopting the rest measures of the “IHI Ventilator Bundle” (daily sedation vacation, dailyassessment of readiness for extubation, head-of-bed elevation and oral care with chlorhexidine).

      Daily sedation vacation is necessary to prevent the negative effects of long-term sedation in patients, such as VAP. These are all measures that are effective for proper care of ICU patients and can prevent other complications as well. - AC, SM

    4. abigailclaus 21 Sep 2023
      Thestudied populations were critically ill ventilated patients admitted to general, medical,surgical, neurosurgical, trauma, and cardiovascular ICUs

      It is important that the study includes different populations of patients so that the results are more accurate based on various patient scenarios, conditions, and acuity. - AC, SM

    5. abigailclaus 21 Sep 2023
      Head-of-bedelevation was implemented by almost all studies

      HOB elevation is an important evidence-based finding that is proven to help the patient breathe easier, encourage lung expansion, and reduce respiratory symptoms. - AC and SM

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    ncbi.nlm.nih.gov/pmc/articles/PMC9952750/pdf/antibiotics-12-00227.pdf