TY  - JOUR
CY  - London; Berlin; Heidelberg
JF  - BMC Infectious Diseases
N2  - Background: To analyse whether the availability of written standards for management of mechanically ventilated patients and/or the existence of a surveillance system for cases of ventilation-associated pneumonia (VAP) are positively associated with compliance with 6 well-established VAP prevention measures.   Methods: Ecological study based on responses to an online-questionnaire completed by 1730 critical care physicians. Replies were received from 77 different countries, of which the majority, i.e. 1351, came from 36 European countries.   Results: On a cross-country level, compliance with VAP prevention measures is higher in countries with a large number of prevention standards and/or VAP surveillance systems in place at ICU level., Likewise, implementation of standards and VAP surveillance systems has a significant impact on self-reported total compliance with VAP prevention measures (both p?<?0.001). Moreover, predictions of overall prevention measure compliance show the effect size of the availability of written standards and existence of surveillance system. For instance, a female physician with 10 years of experience in critical care working in a 15-bed ICU in France has a predicted baseline level of VAP prevention measure compliance of 63 per cent. This baseline level increases by 9.5 percentage points (p?<?0.001) if a written clinical VAP prevention standard is available in the ICU, and by another 4 percentage points (p?<?0.001) if complemented by a VAP surveillance system.   Conclusions: The existence of written standards for management of mechanically ventilated patients in an ICU and the availability of VAP surveillance systems have shown to be positively associated with compliance with VAP prevention measures and should be fostered on a policy level.
Y1  - 2014///
UR  - https://archiv.ub.uni-heidelberg.de/volltextserver/20810/
SP  - 1
TI  - Impact of availability of guidelines and active surveillance in reducing the incidence of ventilator-associated pneumonia in Europe and worldwide
IS  - 199
EP  - 9
A1  - Kaier, Klaus
A1  - Lambert, Marie-Laurence
A1  - Frank, Uwe K.
A1  - Vach, Werner
A1  - Wolkewitz, Martin
A1  - Tacconelli, Evelina
A1  - Rello, Jordi
A1  - Theuretzbacher, Ursula
A1  - Martin, Maria
AV  - public
PB  - BioMed Central; Springer
SN  - 1471-2334
ID  - heidok20810
VL  - 14
ER  -