Reducing Ventilator-associated Pneumonia

Published on in CHOP News

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Why is this important?

Ventilator associated pneumonia (VAP) is the second most common healthcare associated infection in children. Ill children may require respiratory support which is delivered through a breathing tube and ventilator. This support is associated with an increased risk for infection, which can result in longer need for mechanical ventilation, longer hospital stays, and increased cost.

What we did

VAP prevention is part of Children’s Hospital of Philadelphia (CHOP) Harm Prevention Program. An interdisciplinary team implemented changes to care for children requiring mechanical ventilation. These changes included the use of standard kits to clean the mouth and filters to protect the ventilator tubing when it was not connected. These standard evidence-based prevention practices have been embedded into the care of every patient on a ventilator at CHOP. 


Ventilator associated pneumonia infection rate per 1,000-ventilator days

The bedside care team has increased the compliance of the bedside prevention practice which significantly reduced the rate of pneumonia associated with ventilator use.

The rate of VAP rate has decreased by more than 60 percent, resulting in fewer patients having these infections.

Graph: Vap rate per 1000 vent days

Updated May, 2020


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