|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|2636902||1563480||2014||5 صفحه PDF||سفارش دهید||دانلود رایگان|
• Subglottic secretion control reduced the incidence of respiratory infection.
• Subglottic secretion control saved health care costs.
• Subglottic secretion drainage with continuous control of cuff pressure is the best choice.
BackgroundPreventive strategies to reduce ventilator-associated respiratory infection (VARI) include the use of an endotracheal tube incorporating a lumen for subglottic secretion drainage (SSD) and a system for continuous control of endotracheal tube cuff pressure (CCCP). The health care costs associated with the combined use of these 2 measures aimed at preventing VARI are not known, however. The objective of this study was to determine whether the simultaneous use of these 2 preventive measures for VARI could save health care costs.MethodsWe performed a prospective observational study of patients who needed mechanical ventilation in an intensive care unit. The health care costs considered here included only the costs of the endotracheal tube, cuff control, and antimicrobials used to treat VARI.ResultsThe study cohort comprised 656 patients, including 241 with intermittent control of cuff pressure and without SSD (standard group), 260 with CCCP and without SSD (CCCP group), 84 with intermittent control of cuff pressure and with SSD (SSD group), and 71 with CCCP and SSD (CCCP + SSD group). The incidence of VARI and health care costs were lower in the CCCP + SSD group compared with the standard, CCCP, and SSD groups.ConclusionsThe combined use of SSD and CCCP reduced the incidence of VARI and saved health care costs.
Journal: American Journal of Infection Control - Volume 42, Issue 10, October 2014, Pages 1101–1105