1267. Nonventilator Hospital Acquired Pneumonia (NV-HAP) Prevention Initiative in Colombia, Bogotá. (26th November 2018)

• Record Type: Journal Article
• Authors: Valderrama, Sandra; Miranda, Claudia Janneth Linares; Soto, Maria Juliana; Mckinley, Estefania; Morcillo, Juan Pablo; Alarcon, Juan Pablo; Gonzalez, Angela Patricia; Gamba, Leidy
• Is Part Of: Open forum infectious diseases. Volume 5(2018)Supplement 1
• Page Start: S386
• Page End: S386
• Publication Date: 2018-11-26
• Subjects: Communicable diseases -- Periodicals; Medical microbiology -- Periodicals; Infection -- Periodicals; 616.9
• DOI: 10.1093/ofid/ofy210.1100
• Languages: English
• ISSNs: 2328-8957

Abstract

Abstract: Background: Pneumonia is the second most common healthcare-associated infection worldwide. Non ventilator – Hospital Acquired Pneumonia (NV-HAP) affects more people than VAP, has a comparable mortality rate (18.7% vs. 18.9%), and has higher total costs ($156 million vs. $86 million), respectively. The objective of this study was to describe the result of the implementation of a bundle of measures for the prevention of NV-HAP in adult patients in a University Hospital in Colombia. Methods: Descriptive study. In a period of 2 years, a care bundle for prevention of NV-HAP was implemented in adult patients in a university hospital that consisted of: (1) identification of patients at risk (patients over 60 years of age, or with altered consciousness, or swallowing disorder, or patients with tracheostomy), (2) marking the patient with a sticker on the head of the bed, and (3) implementation of the following measures: head of the bed elevation to 30°–45°, oral care every 12 hours, chlorhexidine oral rinse decontamination every 12 hours and aspiration of secretions as needed. In the first 6 months, training was carried out for all staff, the monthly adherence to the strategy was measured. Results: During 2016, 1, 045 patients were included, with 10, 011 observations, bundle adherence during the first year was 33%. in the second year, 1, 400 patiens were included, with 13, 198 observations, the bundle adherence increased to 90% throughout the hospital. The rate of NV-HAP decreased from 4.2 (96 cases) to 3.4 (89 cases) per 1, 000 patient-days, in the second year compared with the previous intervention year. Conclusion: The strategy of prevention of NV-HAP decreased the cases of nosocomial pneumonia in a university hospital, through the education a high adherence to the strategy was achieved. Studies with a better design should be done to confirm the findings. Disclosures: All authors: No reported disclosures.