الفهرس | Only 14 pages are availabe for public view |
Abstract Ventilator-associated pneumonia (V AP) is one of the most frequent ICU-acquired infections and a very challenging infection as it contiriues to complicate the course of 8% to 28% of patients receiving mechanical ventilation. Upper respiratory care protocol was assumed to prevent aspiration. and subsequent V AP.Aim of the Study: This study was conducted to evaluate the effect of upper respiratory care protocol on the incidence of ventilator-associated pneumonia for critically ill patients. Design: ~ quasi- experimental design was used in this study. Setting:the study was conducted at the Intensive care unit in EI-Fayoum University HospitaJ.Study Subjects: A Purposive sample of 60 patients who randomly divided into 2 equal group; group I, consisted of 30 patients received upper respiratory care protocol care protocol (study group) group 11, includes 30 patients received hospital routine care (control group) .. Data CollectionTools: tool of the study consist of three tools, tool(1) Patient Assessment sheet (2) glascocoma scale(GCS) (3) Modified clinical Pulmonary infection score Results: It was found that incidence of V AP among study group patients (20%) while control group patients (83.3%) with a statistically significance difference (X2 =24.093, P=O.OOO). Also. There were no statistically significant relations between V AP development for both groups and their demographic data. Conclusion this study concluded that upper respiratory care protocol was effective in reduce aspiration and ventilator associated pneumonia among critically ill patients. Recommendations: Replication of the study using a large probability samples from different geographic areas. Continued research regarding safety and efficacy of upper respiratory care protocol and its effect on hemodynamic parameters. Key words: Critically III Patient -Incidence- Upper Respiratory Care Protocol -ventilator associated pneumonia. |