Journal of Korean Academy of Nursing

Original Articles

Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System: Kyeong-Sook Cha, Ho-Ran Park; J Korean Acad Nurs 2011;41(2):175-181. Published online April 30, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.2.175

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.

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
Anesteziologiya i reanimatologiya.2020; (4): 32. CrossRef
Who Comes to the Emergency Room with an Infection from a Long-term Care Hospital? A Retrospective Study Based on a Medical Record Review
Kyoung Wan Kim, Soong-Nang Jang
Asian Nursing Research.2018; 12(4): 293. CrossRef
Effects of Normal Saline and Essential Oil Gargling on Bacterial Colonization in Intubated Patients for General Anesthesia
Sang Jin Ko, Yeon Kyung Na, Hae Sook Hong
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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Ventilator-associated Pneumonia with Circuit Changes Every 7 Days versus Every 14 Days: Jeong-Sil Choi, Jeong-haw Yeon; J Korean Acad Nurs 2010;40(6):799-807. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.799

Abstract PDF

Purpose

To determine whether the practice of not routinely changing ventilator circuits in patients who require prolonged mechanical ventilation is associated with ventilator-associated pneumonia (VAP).

Methods

Patients were divided into two groups, ventilator circuits were routinely changed every 7 days for the control group (39) and every 14 days for the experimental group (40) over a period of 1 yr (April 1, 2009-March 31, 2010). Pediatric patients (age 17 yr or less) were not included. VAP was diagnosed by the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of VAP and characteristics of infection were evaluated.

Results

In the experimental group, 2 episodes of pneumonia were observed in 40 patients and 1,322 ventilator days. The rate of VAP was 1.5 per 1,000 ventilator days. There was 1 episode of pneumonia in 39 patients and 481 ventilator days for the control group. The rate of VAP was 2.1 per 1,000 ventilator days. The difference between both groups was not significant (p=.695).

Conclusion

Extending ventilator circuit change interval from 7 days to 14 days does not increase the risk for VAP.

Citations

Citations to this article as recorded by

Efficacy of compliance with ventilator-associated pneumonia care bundle: A 24-month longitudinal study at Bach Mai Hospital, Vietnam
Hoan Minh Hoang, Co Xuan Dao, Hoang Huy Ngo, Tatsuya Okamoto, Chieko Matsubara, Son Ngoc Do, Giang Thi-Huong Bui, Han Quang Bui, Nguỵen Thi Duong, Ngoan Thi Nguyen, Toan Xuan Vuong, Kham Van Vu, Thach The Phạm, Cuong Van Bui
SAGE Open Medicine.2024;[Epub] CrossRef
Actualización de las recomendaciones del proyecto Neumonía Zero
S. Arias-Rivera, R. Jam-Gatell, X. Nuvials-Casals, M. Vázquez-Calatayud
Enfermería Intensiva.2022; 33: S17. CrossRef
Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator
Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song
Korean Journal of Adult Nursing.2016; 28(5): 595. CrossRef

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3 Crossref

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