Implementation of ventilator bundle in pediatric intensive care unit of a developing country

ABSTRACT

The aim of this study was to assess the frequency of VAP [ventilator associated pneumonia] after strict implementation of ventilator bundle in PICU. Medical records of all children [age 1 month - 16 years] were retrospectively reviewed, who were on mechanical ventilation [MV] for more than 48 hours and received all key components of "ventilator bundle" from January 2012 to December 2014. Out of 1050, 565 [54%] patients were enrolled. The mean age was 4.02 SD 4.29 years and 62 [69%] were male. The indications of MV were respiratory illness [54%], neurological illness [31%], shock [9%], and postoperative care [6%]. The mean duration of MV was 7.05 SD 5.4 days. Only 4 patients [0.7%] developed VAP. The incidence-density of VAP was 1.6 per 1000 ventilator days. The strict implementation of simple, inexpensive interventions [ventilator bundle] in care of mechanically ventilated children can decrease significantly VAP even in resource-limited country