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Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System
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Kyeong-Sook Cha, Ho-Ran Park
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J Korean Acad Nurs 2011;41(2):175-181. Published online April 30, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.2.175
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 Abstract
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Purpose
This study was conducted to identify endotracheal colonization and the incidence of ventilator-associated pneumonia related to the type of endotracheal suction system.
Methods
The participants in this study were ICU patients hospitalized between October 2009 to March 2010 who used ventilators for over 48 hr with closed (CSS, n=30) or open (OSS, n=32) suction systems. To standardize the pre-intervention suction system, a suctioning protocol was taught to the ICU nurses. Collected data were analyzed using χ2-test, Fisher's exact test, Wilcoxon rank sums test, Wilcoxon test, Log-rank test and Poisson regression.
Results
Endotracheal colonization was higher in OSS than CSS from day 1 to day 8 while using a ventilator and there was a significant difference between the two groups. The CSS reached 50% of endotracheal colonization by the 4th day, whereas for the OSS, it was the 2nd day (p=.04). The incidence of ventilator-associated pneumonia showed no significant difference.
Conclusion
For patients with a high risk of pneumonia, CSS must be used to lower endotracheal colonization.
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Citations
Citations to this article as recorded by  - Development of a Tool for Measuring Ventilator-Associated Pneumonia Prevention Behaviors of Intensive Care Unit Nurses
Sungjung Kwak, Sujeong Han
International Journal of Environmental Research and Public Health.2022; 19(14): 8822. CrossRef - Optimizing effects on airway pressure and minute volume during closed endotracheal suctioning: a simulated lung model
Fang Jung, Shang-Shing P Chou, Shih-Hsing Yang, Jau-Chen Lin, Guey-Mei Jow
SIMULATION.2021; 97(7): 439. CrossRef - Closed Endotracheal Suctioning Impact on Ventilator-Related Parameters in Obstructive and Restrictive Respiratory Systems: A Bench Study
Fang Jung, Shang-Shing P. Chou, Shih-Hsing Yang, Jau-Chen Lin, Guey-Mei Jow
Applied Sciences.2021; 11(11): 5266. CrossRef - Impact of closed suction system on the incidence of ventilator-associated pneumonia, patient colonization and contamination of inanimate surfaces
K.S. Lapin, V.V. Kuzkov, T.V. Chernova, T.V. Galkina, M.Yu. Kirov
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Journal of Korean Biological Nursing Science.2014; 16(2): 123. CrossRef - A Closed-Suction Catheter with a Pressure Valve Can Reduce Tracheal Mucosal Injury in Intubated Patients
Jin-Heon Jeong, Sung-Jin Nam, Young-Jae Cho, Yeon Joo Lee, Se Joong Kim, In-Ae Song, Sang-Heon Park, Young-Tae Jeon
Korean Journal of Critical Care Medicine.2014; 29(1): 7. CrossRef - Comparison of the Pattern in Semi-Quantitative Sputum Cultures Based on Different Endotracheal Suction Techniques
Jiwoong Oh, Kum Whang, Hyenho Jung, Jongtaek Park
Korean Journal of Critical Care Medicine.2012; 27(2): 70. CrossRef
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