Ventilator-associated pneumonia (VAP) occurs when germs multiply in the lungs of patients using a ventilator to help them breathe. This causes fevers, chills, difficulty breathing, increased sputum and other pneumonia symptoms.
These infections can lead to serious complications, even death, especially for critically ill patients.
What is a ventilator?
A ventilator is a life-saving machine that helps a person breathe when they cannot breathe well on their own. Often, a person is connected to a ventilator in surgery or when recovering from serious illness. A ventilator is connected to a tube, an endotracheal or "ET" tube, placed in the patient's lungs. The tube is inserted through the mouth, nose or throat.
Patients connected to a ventilator at UCSF Medical Center are always in an intensive care unit or in surgery. A ventilator may be used for several weeks.
How does UCSF monitor ventilator-associated pneumonia?
UCSF measures VAP rates according to the methods of the National Healthcare Safety Network (NHSN) of the Center for Disease Control and Prevention’s (CDC). The rate is expressed as the number of infections per 1,000 ventilator days, or the total number of days patients use a ventilated. If a patient is on a mechanical ventilator for five days, that would count as 5 ventilator days.
What is the rate of ventilator-associated pneumonia at UCSF?
Lower is better when comparing ventilator-associated pneumonia rates. UCSF’s goal is to be below 1.5 VAP per 1,000 ventilator days. Individual units compare against NHSN data. UCSF Medical Center's VAP rate has declined by 54 percent, from 6.6 in 2008 to 3.0 in 2011.
What does UCSF do to prevent ventilator-associated pneumonia?
The rate of ventilator-associated pneumonia at UCSF has declined by 54 percent from 2008 to 2011. Here is what we're doing to prevent VAP:
What can you do?
Talk to your health-care team members. Do they follow the UCSF care and maintenance standards when caring for a patient with a ventilator? Find out when the ventilator can be safely removed. If you don't see them clean their hands, ask them to do so before touching you, the patient or the ventilator.
If you have any questions or comments about our performance, contact Quality Improvement:
For help finding a doctor or other assistance, contact our Referral Service at (888) 689-UCSF or (888) 689-8273.
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