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Implementation of Ventilator Bundle in Pediatric Intensive Care Unit of a Developing Country

Anwarul Haque1, Quratulain Riaz1, Syed Asad Ali1

  • 1Department of Pediatrics and Child Health, The Aga Khan University Hospital, Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 11, 2017
PubMed

Insights

Strictly implementing the ventilator bundle significantly reduced ventilator-associated pneumonia (VAP) in pediatric intensive care units (PICUs). This simple, cost-effective intervention is effective even in resource-limited settings.

Area of Science:

  • Pediatric critical care medicine
  • Infectious disease prevention
  • Healthcare quality improvement

Background:

  • Ventilator-associated pneumonia (VAP) is a common healthcare-associated infection in mechanically ventilated children.
  • The ventilator bundle is a set of evidence-based interventions designed to prevent VAP.
  • Assessing VAP rates after bundle implementation is crucial for quality improvement.

Observation:

  • A retrospective review of 565 pediatric patients (1 month - 16 years) on mechanical ventilation for over 48 hours was conducted.
  • Patients received all key components of the ventilator bundle.
  • The study period was from January 2012 to December 2014.

Findings:

  • Only 4 patients (0.7%) developed VAP.
  • The incidence-density of VAP was 1.6 per 1000 ventilator days.
  • The mean age of patients was 4.02 years, and the mean duration of mechanical ventilation was 7.05 days.

Implications:

  • Strict adherence to the ventilator bundle can significantly decrease VAP rates in pediatric intensive care units.
  • The ventilator bundle is a simple, inexpensive, and effective strategy for VAP prevention.
  • These findings are particularly relevant for resource-limited countries seeking to improve patient outcomes.

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