Practical Prevention Of Pneumonia Ventilator-Associated In Intensive Critical Care: Practical Prevention Of Pneumonia Ventilator-Associated In Intensive Critical Care

• Autor(a) principal: Silva, Guilherme Malaquias da
• Data de Publicação: 2019
• Outros Autores: Souza, Verusca Soares de, Lopes, Daniele, Oliveira, João Lucas Campos de, Fernandes, Luciana Magnani, Tonini, Nelsi Salete, Fernandes, Carlos Alexandre Molena
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• DOI: 10.31011/reaid-2019-v.90-n.28-art.414
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/414
• topic: Pneumonia associada à ventilação mecânica; Infecção hospitalar; Cuidados de enfermagem; Unidades de terapia intensiva; Pneumonia, Ventilator-Associated; Cross infection; Nursing care; Intensive care units.

Objective: to identify the adherence to practices of prevention of Mechanical Ventilation-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU). Method: cross - sectional, descriptive, quantitative approach. It was carried out in an ICU of a public university hospital in Paraná. Adherence to VAP prevention practices was extracted from medical records and direct observation of the patients, through a dichotomous checklist based on the main preventive actions recommended by the literature. To the tabulated data, descriptive statistical analysis was carried out. Results: The most adherent practices for the prevention of VAP were: maintenance of head elevation 30-45º (n = 79; 100%) and control of cuff pressure (72; 91.1%). There were 32 (40.5%) medical records without records of oral hygiene. Among the non adhered practices, the non-interruption (n = 64; 81%) of the sedation stands out. In addition, prophylaxis care of venous thromboembolism and peptic ulcer were not performed. Conclusion: adherence to the practices of prevention of VAP has an emphasis on actions of a routine nature.