NEUMONÍA ASOCIADA A VENTILACIÓN MECÁNICA CON LA APLICACIÓN DE LAS MEDIDAS DE PREVENCIÓN PROTOCOLIZADAS (BUNDLE) EN EL ÁREA DE CUIDADOS INTENSIVOS DEL HOSPITAL LUIS VERNAZA DESDE EL MES DE ENERO A SEPTIEMBRE 2016.

Abstract

Introduction- Ventilator-associated pneumonia (VAP) is an inflammation of the lung’s parenchyma produced by bacterias or infectious agents that a patient acquires within the ICU, usually due to endotracheal intubation performed on the patient in mechanical ventilation that leaves exposed its airway. The bundle protocol is a set of processes or practices necessary for the care of the integrity of the patients in the intensive care unit. The present study seeks to know the effectiveness of these measures in the prevention of VAP in the ICU of Luis Vernaza’s Hospital. Methods-The methodology of this research was the development of an observational study within the period from January to September of 2016 to patients with vital support of mechanical ventilation and that developed VAP. Results- A total of 686 patients during the mentioned period were study, with an incidence of VAP in ventilated patients of 7.14% (n = 49) or 6.60 per 1,000 days of mechanical ventilation, while mortality of patients who developed this infection was 46.9% (n = 23). Conclusion- The bundle protocol applied in the area, focuses on the prevention of VAP by reducing its incidence and avoiding this complication in patients, with no impact in mortality so it continues being a challenge for professionals in health care