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Strategies for preventing ventilator-associated pneumonia: an integrative review.

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OBJECTIVE to identify studies about strategies for prevention of ventilator-associated pneumonia deployed in health services and classify their level of evidence. METHOD integrative review of the literature, in 7 databases,… Click to show full abstract

OBJECTIVE to identify studies about strategies for prevention of ventilator-associated pneumonia deployed in health services and classify their level of evidence. METHOD integrative review of the literature, in 7 databases, which included the following descriptors: Prevention and Control AND Pneumonia Ventilator-Associated AND Intensive Care Units AND Bundle AND Patient Care. RESULTS twenty-three scientific productions were included. Of the preventive measures identified, 9 (39.1%) correspond from three to five strategies. The most frequent were: 22 (95.6%) lying with head elevated, 19 (82.6%) oral hygiene with chlorhexidine and 14 (60.8%) reduction of sedation whenever possible. FINAL CONSIDERATION the application of measures based on scientific evidence is proven to be effective when carried out in conjunction, impacting the reduction of the incidence of ventilator-associated pneumonia.

Keywords: integrative review; associated pneumonia; ventilator associated; ventilator; strategies preventing

Journal Title: Revista brasileira de enfermagem
Year Published: 2019

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