VAP Analysis

Diagnosis of VAP

One of the US national patient safety objectives is the reduction of VAP. In the current conditions, there is no steadfast standard for VAP diagnosis, as due to this, multiple criteria and definitions have been developed through the year. Such lack of reliable standard of diagnosis of VAP has created a significant variability in the rates of VAP among the health care contexts. The recommendations about the reliable criterion from the CDC that comprises of the clinical presentation, diagnostic results and the laboratory regulations have been printed in several books (Pramuan, 2011).

The rates of VAP vary according to the criteria that the nurses used during the diagnosis stage. The clinical criteria depend on two positive results

If early interventions are conducted, the mortality rate and ICU duration are highly decreased. In Hui el (2016) reviewed a journal regarding the application of protocols and procedures to reduce VAP, with his major goal being to evaluate the importance of early intervention of VAP in the ER. He found out that there is a need of initiating early intervention in the ER, including oral care with about 0.13% chlorhexidine, 30 to 40 degrees of elevation of the head in bed, administration blockers, prophylaxis of vein thrombosis, vacation of daily sedation, sub glottal suction, and prophylaxis of ulcers. He also gave the evidence that supports his argument about how ER creates a direct impact on the mortality of VAP patient. However, there are no studies that give the rational evidence whether such early interventions in the ER decrease the VAP incidences (Sole el.

Some adepts use such technique as the factor favoring the bronchoscopic strategy to the management of VAP over other techniques. Although there is no clear evidence that quantitative cultures improve the VAP condition in patients, most clinicians uses the quantitative culture technique to manage VAP. Because the quantitative culture shows the exact part of the body that does not receive adequate blood as compared to non-quantitative culture techniques, the nurse is confidently allowed to discontinue the issuance of antibiotics and to avert the VAP patient complications, including their bacterial resistance. Also, such strategy helps the nurse to carry out a thorough examination of VAP before giving out a prescription to the patient (Wunderink & Rello,