Many pathogens can cause ventilator-associated pneumonia, or VAP. These pathogens can enter the lungs via contaminated respiratory devices. A few linked studies here provide information about how devices, particularly bronchoscopes, can contribute to VAP.
Recommendations from the U.S. Centers for Disease Control and Prevention for curbing the spread of antimicrobial resistant organisms expand slightly beyond the responsible use of antibiotics. They include proper handwashing regimens and removing temporary medical devices, such as catheters and ventilators, as soon as they are no longer needed. Traditionally, antimicrobial stewardship focuses primarily on…
How can you recognize ventilator-associated pneumonia (VAP)? Diagnosing VAP is controversial, despite multiple published guidelines. Providers may need to integrate cultures, radiographs, and clinical observation to reach a definitive diagnosis.
Traditionally, antimicrobial stewardship has focused on antibiotic prescription practices. But does the battle against the rapid spread of antimicrobial-resistant bacteria requires an even more comprehensive approach, including the proper cleaning of endoscopes?
Ventilator-associated pneumonia, or VAP, is a constant threat to hospitals worldwide. Yet it is preventable—studies have shown even small interventions can reduce VAP rates and keep patients safe. Many hospitals have implemented evidence-based VAP Care Bundles with great success. Learn about common VAP prevention measures, and how they can be bundled together to lower VAP rates.
Reusable bronchoscopes have myriad niches that foster microbial growth. Yet they are used constantly in the hospital, out of practicality. There are many ways to reprocess reusable bronchoscopes between patients. This article describes how even meticulous reprocessing can leave subsequent patients at risk of serious infection.
Improper bronchoscope disinfection and handling can cause serious infections, if a contaminated scope is used on a patient. Care teams should not rely on automated reprocessors alone. There are many ways care teams can and should help keep bronchoscopes—and reprocessors—safe for patients.
In addition to VAP patient care bundles, many hospitals are applying innovative approaches to prevent ventilator-associated pneumonia. These include implementing procedure and equipment alternatives—sometimes with mixed results. Learn how new strategies are evolving to lower VAP risk in critically ill patients.
Careful planning and assuring the necessary resources and training are available are just some of the factors critical to hospitals successfully making this switch. Lawrence F. Muscarella, a quality improvement and healthcare safety expert, investigated this kind of undertaking and here’s what he found.