Table 2.
Characteristics and outcomes of patients who received mechanical ventilation for > 48 h
| Variable | Pre-intervention period | Intervention period | Post-intervention period |
|---|---|---|---|
| Sessions of mechanical ventilation | 318 | 507 | 437 |
| Total ventilator-days | 3128 | 4234 | 3463 |
| Ventilator-days at risk | 2667 | 3920 | 3381 |
| Total VAP episodes | 67 | 45 | 13 |
| First VAP episodes | 64 (20.1%) | 43 (8.5%)a | 13(3%)b,c,d |
| Early onset | 25 (39.1%) | 22 (51.2%) | 4 (30.8%) |
| Late onset | 39 (60.9%) | 21 (48.8%) | 9 (69.2%) |
| Diagnosed by bronchoalveolar lavage | 10 (15.6%) | 6 (14%) | 4 (30.8%) |
| Diagnosed by mini-bronchoalveolar lavage | 34 (53.1%) | 34 (79.1%)a | 7 (53.8%)d |
| Probable | 28 (43.8%) | 5 (11.6%)a | 2 (15.4%)d |
| Definite | 36 (56.2%) | 38 (88.4%) | 11 (84.6%) |
| Total VAP incidence density rates per 1000 ventilator-days at risk (95% CI) | 21.4 (16.3–26.6) | 10.6 (7.5–13.7)a | 3.8 (1.7–5.8)b,c,d |
| First VAP incidence density rates per 1000 ventilator-days at risk (95% CI) | 24.0 (18.1–29.9) | 11.0 (7.7–14.2)a | 3.9 (1.8–5.9)b,c,d |
| First probable VAP incidence density rates per 1000 ventilator-days at risk (95% CI) | 10.5 (6.6–14.4) | 1.3 (0.2–2.4) | 0.6 (− 0.2 to 1.4) |
| First definite VAP incidence density rates per 1000 ventilator-days at risk (95% CI) | 13.5 (9.1–17.9) | 9.7 (6.6–12.8) | 3.3 (1.3–5.2) |
| Clinical Pulmonary Infection Score for VAP episodes, median (IQR) | 8 (7–9) | 8 (7–9) | 8 (7–8) |
| Duration of mechanical ventilation for all mechanical ventilation sessions, median days (IQR) | 7.14 (4.61–11.06) | 6.50 (4.17–9.85)a | 6.35 (4.15–9.74)c, d |
Data are no. (%) of patients, unless otherwise indicated
CI confidence interval, IQR interquartile range, VAP ventilator-associated pneumonia
aSignificant P value between the pre-intervention and intervention periods
bSignificant P value between the intervention and post-intervention periods
cSignificant P value between the pre-intervention and post-intervention periods
dSignificant P value between the three periods