eprintid: 23839 rev_number: 20 userid: 4169 dir: disk0/00/02/38/39 datestamp: 2015-01-28 14:57:01 lastmod: 2016-11-15 14:26:01 status_changed: 2015-01-28 14:57:00 type: thesis_degree metadata_visibility: show contact_email: cme5127@gmail.com item_issues_id: similar_title_23616 item_issues_type: similar_title item_issues_description: Similar title to Edwards, Clare (2014) CLINICAL AND DEMOGRAPHIC CHARACTERISTICS OF ADULT VENTILATOR-ASSOCIATED PNEUMONIA PATIENTS AT A TERTIARY CARE HOSPITAL SYSTEM. Master's Thesis, University of Pittsburgh. item_issues_timestamp: 2014-12-11 07:28:14 item_issues_status: autoresolved item_issues_count: 0 eprint_status: archive creators_name: Edwards, Clare creators_email: cme33@pitt.edu creators_id: CME33 title: Clinical and demographic characteristics of adult ventilator-associated pneumonia patients at a tertiary care hospital system ispublished: unpub divisions: sch_gsph_infectiousdiseasesmicrobiology full_text_status: public keywords: VAP, Possible VAP, Probable VAP, pneumonia, Ventilator-Associated Pneumonia, Ventilator Associated Pneumonia abstract: Background: When a mechanical ventilator is used, the endotracheal tube can act as a track for pathogens to follow into the patient’s lungs where pneumonia can develop. This project evaluates reported Ventilator-Associated Pneumonia (VAP) events at an academic tertiary care hospital (TCH) system. Objectives: The objectives of this study are to: 1.) Identify epidemiological data related to VAP, 2.) Identify the prevalence of possible (ps) and probable (pr) VAP, and 3.) Compare similar hospital groups for factors influencing cases and outcomes. Methods: This project utilized data from the National Healthcare Safety Network (NHSN) and the TCH medical record system between January 1, 2013 and August 31, 2014. Only adult VAP patients were included in the study. Demographic and clinical data were analyzed using SAS 9.3 software. Results: White men between 50-70 years of age were the majority of persons to develop VAP while at the TCH system. Most patients were diagnosed with psVAP, but had no major differences from prVAP patients. This review shows that daily PEEP values are not being monitored by hospitals. All hospitals had both a high mortality and a high readmission rate. Suburban facilities accounted for 76% of psVAP cases, 41% of mortalities, and 60% of all readmissions. Conclusions: Infection Prevention teams, especially in suburban hospitals, must identify the cause of high VAP complications and adverse outcomes within the dominant population. It is important that practice and procedure match to ensure patient safety. Public Health Significance: Every community trusts healthcare facilities to provide safe and effective treatment. However, Healthcare-Acquired Infections (HAI) deter individuals from optimal health, and may lead to increased antibiotic use and resistance. Mechanical ventilation, while essential, breaches protective barriers and increases the risk for potential HAI. Infection Preventionists aid patients on their journey to better health by working to eliminate HAIs. This study is the first step to aid Infection Prevention teams throughout the healthcare system in encouraging continued surveillance, evaluation of practice and procedure, and decreasing hospital-acquired infections overall to reinforce community safety. date: 2015-01-28 date_type: published pages: 48 institution: University of Pittsburgh refereed: TRUE etdcommittee_type: committee_chair etdcommittee_type: committee_member etdcommittee_type: committee_member etdcommittee_type: committee_member etdcommittee_name: Silvestre, Anthony J. etdcommittee_name: Glynn, Nancy etdcommittee_name: Galdys, Alison etdcommittee_name: Ferrelli, Juliet etdcommittee_email: tonys@pitt.edu etdcommittee_email: glynnn@edc.pitt.edu etdcommittee_email: bonowal@upmc.edu etdcommittee_email: Ferrellijg@upmc.edu etdcommittee_id: TONYS etdcommittee_id: EPIDNWG etdcommittee_id: etdcommittee_id: etd_defense_date: 2014-11-20 etd_approval_date: 2015-01-28 etd_submission_date: 2014-12-10 etd_release_date: 2015-01-28 etd_access_restriction: immediate etd_patent_pending: FALSE thesis_type: thesis degree: MPH citation: Edwards, Clare (2015) Clinical and demographic characteristics of adult ventilator-associated pneumonia patients at a tertiary care hospital system. Master's Thesis, University of Pittsburgh. (Unpublished) document_url: http://d-scholarship-dev.library.pitt.edu/23839/1/Clare_Edwards_ETD_12_2014.pdf