This observational monocentric prospective study aims to evaluate the efficacy of new measures for ventilator associated pneumonia (VAP) management in the pediatric population in the pediatric intensive care unit (PICU) of Fondazione Policlinico Agostino Gemelli of 8 beds. The investigators will compare the incidence of VAP in the group of patients in which this protocol has been implemented to a retrospective control group of patients before the new protocol implementation. VAP bundle includes oral care hygiene measures (i.e chlorhexidine swab), to keep clean and dry ventilator circuits and head positioning at 45 degrees.
Study Type
OBSERVATIONAL
Enrollment
242
Oral hygiene care (i.e chlorhexidine swab); clean and dry ventilator circuits; head positioning at 45 degrees.
evaluation of VAP incidence in our pediatric population of intensive care patients before the implementation of the protocol for VAP prevention
Fondazione Policlinico Universitario Agostino Gemelli
Roma, RM, Italy
RECRUITINGVAP incidence
Incidence of VAP in pediatric patients intubated for more than 48 hours
Time frame: From 48 hours after intubation to 48 hours after extubation
Prevalence of orotracheal bacterial colonization in ventilated patients
Evaluation of orotracheal bacterial colonization in pediatric patients undergoing mechanical ventilation twice a week
Time frame: From 48 hours after intubation to 48 hours after extubation
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