ArticleAnnals of intensive care2018
Impact of a VAP bundle in Belgian intensive care units.
Article in Annals of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- The effectiveness of care bundles for reducing caesarean section safely: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Care bundles for women during pregnancy, labour/birth, and postpartum: a scoping review.HRB open research · 2024Pooled it
- Prevention of ventilator-associated pneumonia: intensive care nurses' perspectives and solution-oriented recommendations-a qualitative study.BMC nursing · 2026Article
- Development and psychometric evaluation of a scale assessing nursing students' knowledge, attitudes, and practices regarding evidence-based care bundles.BMC nursing · 2026Article
- Article
- Efficacy of compliance with ventilator-associated pneumonia care bundle: A 24-month longitudinal study at Bach Mai Hospital, Vietnam.SAGE open medicine · 2024Article
- Evaluation of a bundle approach for the prophylaxis of ventilator-associated pneumonia: A retrospective single-center Study.Global health & medicine · 2023Article
- Role of nebulized colistin as a substitutive strategy against nosocomial pneumonia caused by CR-GNB in intensive care units: a retrospective cohort study.Annals of intensive care · 2023Article
- Risk Factors and Protective Factors against Ventilator-Associated Pneumonia-A Single-Center Mixed Prospective and Retrospective Cohort Study.Journal of personalized medicine · 2022Article
- Exploring the Nursing Factors Related to Ventilator-Associated Pneumonia in the Intensive Care Unit.Frontiers in public health · 2022Article
- Critical care nurses' compliance and barriers toward ventilator-associated pneumonia prevention guidelines: cross-sectional survey.Journal of Taibah University Medical Sciences · 2021Article
- Less daily oral hygiene is more in the ICU: no.Intensive care medicine · 2021Article
- "The multimodal approach for ventilator-associated pneumonia prevention"-requirements for nationwide implementation.Annals of translational medicine · 2018Review
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Authors and funding
16 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This report will document the impact of this campaign.
methodsOn 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded.
resultsBetween 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30° were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p ≤ 0.0001).
conclusionAlthough a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines.
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