الفهرس 
Normal Gastrointestinal TractOnly 14 pages are availabe for public view
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Abstract
Ventilator-acquired pneumonia is defined as hospital-acquired pneumonia that develops in patients who have been treated for 48 h or longer with mechanical ventilation (MV) and who had no signs or symptoms of lower respiratory infection before they were intubated and MV initiated.
VAP is a major health risk for hospitalized, mechanically ventilated patients. VAP is associated with elevated mortality and morbidity rates, increasing the length of hospital stay, and as a result causing high health care costs.
The ventilator bundle implementation has a significant reduction in VAP rates, duration of MV, antibiotic administration, length of ICU stay, and hospital costs.
Although there are evidence-based clinical practice guidelines for preventing VAP, only approximately 50% of patients received evidence-based recommended care. For this reason, the care bundle approach was introduced and is defined as the implementation of a set of evidence-based practices that when executed together, they provide better outcomes than when implemented individually.
The main aim of this study was to assess the impact of VAP prevention bundle implementation on the incidence of Ventilator-acquired pneumonia in R.I.C.U. of Ain Shams University hospitals and analyze the possible risk factors predisposing to Ventilator-acquired pneumonia even after implementation of VAP prevention bundle.
This retrospective cohort study was conducted at Respiratory I.C.U. at Ain Shams University hospital for three months from first of January 2022 to the end of March 2022. This study was conducted on 50 Patients admitted to R.I.C.U. and were mechanically ventilated for > 48 hours. 29 patients were diagnosed with VAP.
The main results of the study revealed the gender, age, and smoking status of the studied groups. It displays that most of the VAP patients were males 65.5% with mean age of 58.17± 17.09 years and 51.7 % were smokers. As regards the non-VAP, the majority were males by 61.5% with mean age of 59.19± 14.55, non-smokers by 46.2%.