PMID- 18945515
OWN - NLM
STAT- MEDLINE
DCOM- 20090409
LR  - 20090814
IS  - 1527-3296 (Electronic)
IS  - 0196-6553 (Linking)
VI  - 37
IP  - 2
DP  - 2009 Mar
TI  - Efficacy of an expanded ventilator bundle for the reduction of 
      ventilator-associated pneumonia in the medical intensive care unit.
PG  - 172-5
LID - 10.1016/j.ajic.2008.05.010 [doi]
AB  - The ventilator bundle (VB) includes a group of clinical maneuvers (head-of-bed 
      elevation, "sedation vacation," deep vein thrombosis prophylaxis, and peptic 
      ulcer disease prophylaxis) to improve outcomes in patients undergoing mechanical 
      ventilation. We modified the standard VB in our medical intensive care unit to 
      include a group of respiratory therapist-driven protocols and, 
      postimplementation, observed a statistically significant (P = .0006) reduction in 
      ventilator-associated pneumonia (VAP), from a median of 14.1 cases/10(3) 
      ventilator-days (interquartile range [IQR] = 12.1 to 20.6) to 0 cases/10(3) 
      ventilator-days (IQR = 0 to 1.1).
FAU - Blamoun, John
AU  - Blamoun J
AD  - Division of Pulmonary Medicine, School of Health and Medical Sciences, Seton Hall 
      University, South Orange, NJ 07079, USA.
FAU - Alfakir, Maria
AU  - Alfakir M
FAU - Rella, Marie E
AU  - Rella ME
FAU - Wojcik, Janice M
AU  - Wojcik JM
FAU - Solis, Roberto A
AU  - Solis RA
FAU - Anees Khan, M
AU  - Anees Khan M
FAU - DeBari, Vincent A
AU  - DeBari VA
LA  - eng
PT  - Journal Article
DEP - 20081022
PL  - United States
TA  - Am J Infect Control
JT  - American journal of infection control
JID - 8004854
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Pneumonia, Ventilator-Associated/*epidemiology/*prevention & control
MH  - Ventilators, Mechanical/*adverse effects
MH  - Young Adult
EDAT- 2008/10/24 09:00
MHDA- 2009/04/10 09:00
CRDT- 2008/10/24 09:00
PHST- 2008/04/01 00:00 [received]
PHST- 2008/05/07 00:00 [revised]
PHST- 2008/05/08 00:00 [accepted]
PHST- 2008/10/24 09:00 [pubmed]
PHST- 2009/04/10 09:00 [medline]
PHST- 2008/10/24 09:00 [entrez]
AID - S0196-6553(08)00690-1 [pii]
AID - 10.1016/j.ajic.2008.05.010 [doi]
PST - ppublish
SO  - Am J Infect Control. 2009 Mar;37(2):172-5. doi: 10.1016/j.ajic.2008.05.010. Epub 
      2008 Oct 22.