Navigation Links
Multidisciplinary initiative reduces airway infection in pediatric intensive care patients

An initiative that combines a multidisciplinary health care approach with a range of preventive measures could cut the rate of a common airway infection among children in intensive care by more than half, a new study suggests. The research, led by a team at Nationwide Children's Hospital, appears in the June issue of the journal Pediatric Critical Care Medicine.

Ventilator-associated tracheobronchitisVAT for shortis a lower respiratory infection caused by a buildup of bacteria in the airway. Ordinarily, these small organisms are easily cleared, but being on a ventilator with an artificial airway in place disrupts the body's natural defenses. This, along with other factors, increases the risk of VAT, says Jennifer Muszysnki, lead study author and a critical care physician and principal investigator in the Center for Clinical and Translational Research in The Research Institute at Nationwide Children's.

Historically, VAT infections have not been tracked as closely as another common airway infection known as VAPventilator-associated pneumoniawhich has been monitored by the Centers for Disease Control and Prevention in Atlanta for more than a decade and is a common target for quality improvement initiatives in hospitals across the country.

A program instituted in 2007 at Nationwide Children's to prevent VAP in ventilated pediatric intensive care patients led to a dramatic decline in VAP rates. However, physicians found that many children still required treatment for ventilator-associated airway infections that did meet the CDC criteria for VAP. So, in 2010, Muszysnki and her colleagues decided to adapt the VAP prevention program to study its effectiveness on reducing VAT.

The new plan included a bundle of patient care components. Ventilated patients' beds were raised to a 30-degree angle at the head, which helps reduce bacteria in the airway. Patients were given an anti-bacterial oral rinse every four hours, and respiratory therapists followed a strict process for suctioning secretions from patients' mouths and throats. A multidisciplinary team of respiratory therapists, physicians and nurses met regularly to monitor patients' progress.

After 18 months, the cases of VAT had dropped by 53 percent compared to pre-intervention rates.

"The multidisciplinary approach that was key to this success," Muszynski says, adding that because each team member interacted differently with the patient and brought a unique perspective, barriers to bundle implementation could be identified and solved quickly.

This is among the first published studies on VAT prevention in pediatric patients. While there is good information to be mined from the data, Musyznki says that this only grazes the surface of the problem.

"We still want to understand why some children get VAT and others don't, or why one child will have a mild case while another gets very sick, even when both have the benefit of the same preventive protocol," says Muszynski, who also is an assistant professor of pediatrics at The Ohio State University College of Medicine. "There are many more questions we'd like to answer."


Contact: Gina Bericchia
Nationwide Children's Hospital

Related medicine news :

1. Couponing Made Easier with Jessica Hacker’s Initiative Living on a Coupon
2. Liberty University Continues to Champion Local Health Initiatives
3. Quality improvement educational initiative proves to be a model program for surgical residents
4. CalsonicKansei North America, Inc.’s New Health Management Initiative Reduces Healthcare Costs 9.9% In First Year
5. The Tourism Authority of Thailand Launches Their Initiative to Promote Thai Airways International as a Golf Friendly Airline
6. $15 million to develop mobile device data collection system to monitor family planning initiatives
7. Grass Roots Wellness Initiative Builds Muscle in Jackson, Tennessee
8. ASU Announces Edson Student Entrepreneur Initiative’s 2013-2014 Cohort
9. Mecklenburg EMS Agency Teams Up with the YMCA of Greater Charlotte and Others to Educate the Public on Health Related Initiatives
10. WEDI Launches New ICD-10 State Collaborative Initiative to Increase Efficiencies and Reduce Compliance Time and Costs
11. Eliminate Confusion in Corporate Wellness with Healthentic's Ready-to-Launch Fitness Initiatives; Manage their Success with the Wellness Decision Engine
Post Your Comments:
(Date:11/25/2015)... , ... November 25, 2015 , ... ... has been recognized once again for its stellar workplace culture with the company’s ... , Medical Solutions’ Cincinnati office was named a finalist in Cincinnati ...
(Date:11/25/2015)... (PRWEB) , ... November 26, 2015 , ... ... Union Commission (AUC), European Union (EU), ANDI Pan African Centres of Excellence, and ... Office in Nairobi (UNON) for the opening of the 5th African Network for ...
(Date:11/25/2015)... , ... November 25, 2015 , ... According to an ... robot is being more and more widely heralded as a breakthrough for performing hernia ... method has over traditional laparoscopic surgery is that it can greatly reduce the pain ...
(Date:11/25/2015)... ... November 25, 2015 , ... On November 25, 2015, ... for the Narconon network, announced the release of a new cutting edge recovery program ... organization has been working with drug- and alcohol-addicted individuals with the purpose to free ...
(Date:11/25/2015)... ... , ... On November 23rd 2015 Cozy Products, a division of ... Cozy Products explains what this means for business moving forward. , The Tri Lite ... business model: to sell personal heaters that reduce energy consumption, are economical and keep ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , November 25, 2015 ... KTOV ) (TASE: KTOV), a biopharmaceutical company focused on ... of various clinical conditions, today announced the closing of ... Depository Shares ( ADSs ), each representing 20 ordinary ... to 3,158,900 ADSs. The ADSs and warrants were issued ...
(Date:11/25/2015)...  Trovagene, Inc. (NASDAQ: TROV ), a developer ... Officer Antonius Schuh, Ph.D., is scheduled to present a ... Jaffray Healthcare Conference. th Annual Piper ... in New York on Tuesday, ... will be available for one-on-one meetings during the conference. ...
(Date:11/25/2015)... Nov. 25, 2015 Allergan plc (NYSE: ... and Rugen Therapeutics, a start-up  biotechnology company focused ... CNS disorders and funded by the F-Prime Biomedical ... entered into an exclusive collaboration to support the ... Spectrum Disorders (ASD) and Obsessive Compulsive disorders (OCD). ...
Breaking Medicine Technology: