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

• Published in: Revista Brasileira de Enfermagem Vol. 77; no. 3; pp. e20230146 - 6
• Main Authors: Cezar, Fabiana Schimidt, Jacober, Fabiana Camolesi, Gonçalves, Heloísa Amaral Gaspar, Cantarini, Katia Vanessa, Oliveira, Claudio Flauzino de
• Format: Journal Article
• Language: English
• Published: Brazil Associação Brasileira de Enfermagem 01.01.2024
• Subjects: Adolescent; Adult; Aged; Artificial; Brazil - epidemiology; Catheters; Child; Child, Preschool; Clinical outcomes; Disease control; Electronic health records; Epidemiology; Ethics; Female; Health surveillance; Health Systems Agencies; Home Care Services; Home Care Services - standards; Home Care Services - statistics & numerical data; Home Care Services - trends; Hospitals; Humans; Incidence; Infant; Infections; Intensive care; Intensive Care Units; Male; Medical equipment; Middle Aged; Observational studies; Original; Patients; Pediatrics; Pneumonia; Pneumonia, Ventilator-Associated - epidemiology; Pneumonia, Ventilator-Associated - etiology; Prevention; Respiration; Respiration, Artificial - adverse effects; Respiration, Artificial - statistics & numerical data; Retrospective Studies; Ventilator-Associated; Ventilators; Brazil
• ISSN: 0034-7167; 1984-0446
• DOI: 10.1590/0034-7167-2023-0146

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. 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. 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. patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.