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dc.contributor.authorLai, Kwan Kew
dc.contributor.authorBaker, Stephen P.
dc.contributor.authorFontecchio, Sally A.
dc.date2022-08-11T08:09:11.000
dc.date.accessioned2022-08-23T16:20:39Z
dc.date.available2022-08-23T16:20:39Z
dc.date.issued2003-12-03
dc.date.submitted2008-05-21
dc.identifier.citationInfect Control Hosp Epidemiol. 2003 Nov;24(11):859-63.
dc.identifier.issn0899-823X (Print)
dc.identifier.pmid14649776
dc.identifier.urihttp://hdl.handle.net/20.500.14038/35329
dc.description.abstractOBJECTIVE: We hypothesized that a program of prospective intensive surveillance for ventilator-associated pneumonia (VAP) and concomitant implementations of multimodal, multidisciplinary preventive and intervention strategies would result in a reduction in the incidence of VAP and would be cost-effective. SETTING: Medical and surgical intensive care units (ICUs) in a university teaching hospital. INTERVENTIONS: All ventilated patients in the medical and surgical ICUs were monitored for VAP from January 1997 through December 1998. Interventions including elevation of the head of the bed, use of sterile water and replacement of stopcocks with enteral valves for nasogastric feeding tubes, and prolongation of changing of in-line suction catheters from 24 hours to as needed were implemented. RESULTS: The rates of VAP decreased by 10.8/1,000 ventilator-days in the medical ICU (CI95, 4.65-16.91) and by 17.2/1,000 ventilator-days in the surgical ICU (CI95, 2.85-31.56) when they were compared for 1997 and 1998. With the use of the estimated cost of a VAP of dollars 4,947 from the literature, the reduction resulted in cost savings of dollars 178,092 and dollars 148,410 in the medical and surgical ICUs, respectively, for a total of dollars 326,482. In addition, dollars 25,497 was saved due to the lengthening of the time for the change of in-line suction catheters, resulting in a cost savings of dollars 351,979. This total cost savings of dollars 351,979 minus the cost of enteral valves of dollars 2,100 resulted in total net savings of dollars 349,899. CONCLUSION: Intensive surveillance and interventions targeted at ventilated patients resulted in reduction of VAP and appeared to be cost-effective.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14649776&dopt=Abstract ">Link to article in PubMed</a>
dc.relation.urlhttp://www.jstor.org/stable/10.1086/502150
dc.subjectCost-Benefit Analysis
dc.subjectCross Infection
dc.subject*Equipment Contamination
dc.subjectHospital Bed Capacity, 300 to 499
dc.subjectHospitals, University
dc.subjectHumans
dc.subjectInfection Control
dc.subjectInfection Control Practitioners
dc.subjectIntensive Care Units
dc.subjectMassachusetts
dc.subjectPneumonia
dc.subject*Sentinel Surveillance
dc.subjectVentilators, Mechanical
dc.subjectClinical Epidemiology
dc.subjectInfectious Disease
dc.titleImpact of a program of intensive surveillance and interventions targeting ventilated patients in the reduction of ventilator-associated pneumonia and its cost-effectiveness
dc.typeJournal Article
dc.source.journaltitleInfection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America
dc.source.volume24
dc.source.issue11
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/infoservices/77
dc.identifier.contextkey511496
html.description.abstract<p>OBJECTIVE: We hypothesized that a program of prospective intensive surveillance for ventilator-associated pneumonia (VAP) and concomitant implementations of multimodal, multidisciplinary preventive and intervention strategies would result in a reduction in the incidence of VAP and would be cost-effective.</p> <p>SETTING: Medical and surgical intensive care units (ICUs) in a university teaching hospital.</p> <p>INTERVENTIONS: All ventilated patients in the medical and surgical ICUs were monitored for VAP from January 1997 through December 1998. Interventions including elevation of the head of the bed, use of sterile water and replacement of stopcocks with enteral valves for nasogastric feeding tubes, and prolongation of changing of in-line suction catheters from 24 hours to as needed were implemented.</p> <p>RESULTS: The rates of VAP decreased by 10.8/1,000 ventilator-days in the medical ICU (CI95, 4.65-16.91) and by 17.2/1,000 ventilator-days in the surgical ICU (CI95, 2.85-31.56) when they were compared for 1997 and 1998. With the use of the estimated cost of a VAP of dollars 4,947 from the literature, the reduction resulted in cost savings of dollars 178,092 and dollars 148,410 in the medical and surgical ICUs, respectively, for a total of dollars 326,482. In addition, dollars 25,497 was saved due to the lengthening of the time for the change of in-line suction catheters, resulting in a cost savings of dollars 351,979. This total cost savings of dollars 351,979 minus the cost of enteral valves of dollars 2,100 resulted in total net savings of dollars 349,899.</p> <p>CONCLUSION: Intensive surveillance and interventions targeted at ventilated patients resulted in reduction of VAP and appeared to be cost-effective.</p>
dc.identifier.submissionpathinfoservices/77
dc.contributor.departmentDepartment of Cell Biology
dc.contributor.departmentInformation Services, Academic Computing Services
dc.source.pages859-63


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