The Effect of Bundle Adaptation Control on VAP Speed and Length of Hospital Stay in Avoiding the Ventilator Associated Pneumonia (VAP) at Anesthesia Intensive Care Unit

Abstract

Introduction: This study was conducted in order to evaluate the adaptation control onVAP prevention bundle adaptationcontrol in terms of VAP speed, length of stay at hospital and adaptation of healthcare staff to bundle application. Method: The data of the study, which was conducted in cross sectional pattern on controlled and uncontrolled groups for ten months each, was gathered via Introductory Features Form, VAP Prevention Bundle Application List and VAP Prevention Bundle Control List. Gathered data was presented in numbers, percentages, averages and standard deviations. The data was analyzed via chi square test, Mann-Whitney U and Kruskal-Wallis tests. Results: It was found out that the length of stay at hospital for controlled group (X=11.41±12.29) is fairly shorter than of uncontrolled group (X=31.41±36.41); and it was also found out that, in comparison with the controlled group (4.7%) the VAP development rate is higher with the uncontrolled group (19.6%) and the difference in percentages is statistically meaningful. With the uncontrolled group the VAP speed is measured as 7.12 ventilator days while the time is 4.14 with the controlled group; and difference in time spent on mechanical ventilator is found to be statistically highly meaningful. In this study, it was found out that the adaptation rate of doctors and nurses working at ICUs to ventilator bundle are 69.89%. Conclusion: In accordance with the gathered data, it was determined that, controlled and uncontrolled groups have similar characteristics in terms of introductory features; although the adaptation rate with controlled group is lower than the average numbers in literature, while the VAP rate and speed is higher with the uncontrolled group, these numbers decrease to statistically meaningful levels with the controlled group. In our study it was observed that, in comparison with the uncontrolled group, the length of time spent at hospital and on mechanical ventilator is statistically shorter with the controlled group.