Profile of patients in private home care who developed ventilator-associated pneumonia

• Main Authors: Fabiana Schimidt Cezar (Author), Fabiana Camolesi Jacober (Author), Heloísa Amaral Gaspar Gonçalves (Author), Katia Vanessa Cantarini (Author), Claudio Flauzino de Oliveira (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2024-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

ABSTRACT Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. Methods: this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. Results: the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. Conclusions: patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.

Item Description

1984-0446
10.1590/0034-7167-2023-0146