INTERDISCIPLINARY ACTION AND GOOD PRACTICES IN THE CONTEXT OF PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA IN AN INTENSIVE CARE UNIT

Abstract

The objective of the work is to analyze the effectiveness of interdisciplinary care strategies for preventing Ventilation-Associated Pneumonia (VAP), in a Hospital in the city of Petrolina-PE. The research has a descriptive nature, with a quantitative data approach, carried out in a Intensive Care unit, in the period corresponding to the month of April 2022 to April 2023. The sample was composed of active search forms of patients hospitalized during the study period, who met the inclusion criteria. The collection was carried out by consulting the database of the Health Care-Related Infection Control Service (SCIRAS) and medical records. The sample collected indicates an average MV use rate of 73.23% and an average VAP incidence density of 26.74%, considering the average patient day of 294.23 patients. The most prevalent microorganisms in the period were Acinetobacter baumannii (36.07%), Klebsiella pneumoniae (18.03%), Pseudomonas aeruginosa (18.03%) and Staphylococcus aureus com (13.11%), items related to PAV bundles with the lowest adherence were avoidance of deep sedation with 85% compliance, followed by maintenance of the mechanical verification system with 78% compliance. Scientific studies point to the effectiveness of basic patient safety procedures in preventing VAP, with interdisciplinary participation in changes in care practice in favor of a patient safety culture being essential.