Effect of Intensive Education and Training of Nurses on Ventilator-associated Pneumonia and Central Line-associated Bloodstream Infection Incidence in Intensive Care Unit at a Tertiary Care Center in North India

Neeru Sahni; Manisha Biswal; Komal Gandhi; Kulbeer Kaur; Vikas Saini; Lakshminarayana N Yaddanapudi

doi:10.4103/ijccm.IJCCM_259_17

Effect of Intensive Education and Training of Nurses on Ventilator-associated Pneumonia and Central Line-associated Bloodstream Infection Incidence in Intensive Care Unit at a Tertiary Care Center in North India

Indian J Crit Care Med. 2017 Nov;21(11):779-782. doi: 10.4103/ijccm.IJCCM_259_17.

Authors

Neeru Sahni¹, Manisha Biswal², Komal Gandhi¹, Kulbeer Kaur³, Vikas Saini¹, Lakshminarayana N Yaddanapudi¹

Affiliations

¹ Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
² Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
³ Division of Infection Control, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Objective: The aim was to analyze the impact of education and training of nurses on the incidence of ventilator-associated pneumonia (VAP) and central line-associated bloodstream infection (CLABSI).

Patients and methods: A prospective observational study at a tertiary care hospital included adult patients with Intensive Care Unit stay >48 h. The study was done in three phases: in Phase 1, baseline VAP and CLABSI incidence was calculated; in Phase 2, education and training of nurses; and in Phase 3, data were recollected for the incidence of VAP and CLABSI.

Results: The baseline incidence of VAP in Phase 1 was 28.86/1000 ventilator days and that of CLABSI was 7.89/1000 central-line days. In Phase 3, the incidence of VAP increased to 35.06 and that of CLABSI decreased significantly, 1.73.

Conclusion: Intensive education and training sessions with feedback from nurses over a period of 6 months led to significant reduction in the incidence of CLABSI; however, the incidence of VAP increased.

Keywords: Intensive Care Unit; nurses training; patient care bundles; ventilator-associated pneumonia.