Acessibilidade / Reportar erro

Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit1 1 This article is part of the master's thesis - Conformity assessment of care that integrate a bundle to prevent ventilator-associated pneumonia in Intesive Care Unit, presented to the Multiprofessional Master of Health Sciences, at the Universidade Federal de Santa Catarina (UFSC), in 2013

Evaluación de un paquete de prevención de la neumonía asociada a ventilación mecánica en la unidad de cuidados intensivos

We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.

Intensive care units; Pneumonia, ventilator-associated; Nursing assessment; Patient care team


Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br