Preventing vent acquired pneumonia (VAP) in the icu Essay

Pre sending vent acquired pneumonia (VAP) in the icu - Essay ExampleMicrobiological surveillance is important because it baffles emergence of multi-drug resistant bacteria and also in determining empirical therapy for patients with VAP. According to Babcock et al (2004), educating health professionals about ginmill of VAP is critical for prevention of not only VAP, but also various nosocomial infections. Similar reports were delivered by Needleman et al (2002) and Cho et al (2003).Another important strategy for prevention of VAP is early extubation and this is possible by following certain extubation protocols ilk interruption of sedation every day. According to Cook et al (2000), decreased time of mechanical dissemination decreases the risk of aspiration and consequently decreases VAP risk.The third strategy useful to prevent VAP is prevention of aspiration. Nieuwenhoven et al (2006) nurse reported that evevation of bed at 45 degrees prevents aspiration. Timely drainage of sec retions in the subglottic region which get colly easily (Bonten et al. 2004), avoiding manipulation of fluids in the ventilator circuits (Han and Liu, 2010) and use appropriate endotracheal cuff pressure (Valencia et al. 2007) also prevent aspiration of contaminated fluids and secretions.There ar several decontamination strategies which have been advocated for prevention of VAP. Some drugs like chlorhexidine are useful for oral decontamination. Selective decontamination of the intestines is possible by using antibiotics like polymyxin which are non-absorbable (Bonten and Krueger, 2006).Babcock, H.M., Zack, J.E., Garrison, T., Trovillion, E., Jones, M., Fraser, V.J. et al. (2004) An educational discussion to reduce ventilator-associated pneumonia in an integrated health system a comparison of effects. Chest, 125, 22242231.Tablan, O.C., Anderson, L.J., Besser, R., Bridges, C. and Hajjeh, R. (2004) Guidelines for preventing health-careassociated pneumonia, 2003