Navigation Links
Multidisciplinary initiative reduces airway infection in pediatric intensive care patients
Date:6/17/2013

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
Gina.Bericchia@NationwideChildrens.org
614-355-0495
Nationwide Children's Hospital
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... ... of Bruton Memorial Library on June 21 due to a possible lice infestation, as reported ... head lice: the parasite’s ability to live away from a human host, and to infest ... in the event that lice have simply gotten out of control. , As lice are ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
(Date:6/24/2016)... ... , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business ... to $12 an hour by 2020 and then adjusting it yearly to increase at the ... minimum wage, assure the wage floor does not erode again, and make future increases more ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 Dehaier Medical Systems Ltd. (NASDAQ: ... develops, markets and sells medical devices and wearable sleep ... a strategic cooperation agreement with Hongyuan Supply Chain Management ... on June 20, 2016, to develop Dehaier,s new Internet ... agreement, Dehaier will leverage Hongyuan Supply Chain,s sales platform ...
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: