Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals

In this article, the authors have published an updated evidence-based strategies on preventing ventilator-associated pneumonia (VAP), ventilator-associated events (VAE), and nonventilator hospital-acquired pneumonia (NV-HAP) for adults, as well as the pediatric and neonatal populations. This guidance document was developed by the SHEA/APIC/SARI/CPP and was also endorsed by the IDSA/CMAMA/ASID, AHA, The Joint Commission, and QPHIS organizations. This guideline presented the essential evidence-based infection prevention practices that “all” acute-care hospitals should be implementing, as well as “additionally recommended” interventions for some high-risk and/or persistent populations. The key recommendations in this document that were updated include supporting the use of high-flow nasal oxygen to avoid intubation when possible, daily toothbrushing, and sedation minimization bundle practices. The authors emphasized the significance of leadership, accountability, multidisciplinary engagement, and education in successful implementation and sustainable infection prevention practices. It highlighted the importance of infrastructure, particularly in low-resource and COVID-19 pandemic settings, and emphasized the significance of leadership in making sure those resources are in place to support best practices. It also discussed the need for constant education and use of professional peer networks to drive the best practice. This document can serve as a crucial tool to assist acute-care hospitals in their HAI prevention and control efforts by providing the most recent evidence-based recommendations on this subject.

 

Klompas, M., Branson, R., Cawcutt, K., Crist, M., Eichenwald, E. C., Greene, L. R., ... & Berenholtz, S. M. (2022). Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update. Infection Control & Hospital Epidemiology , 43 (6), 687-713. https://doi.org/10.1017/ice.2022.88