THE EFFECT OF ARTIFICIAL AIRWAY STANDARDIZATION CARES ON THE VENTILATOR-ASSOCIATED PNEUMONIA

Artificial airway standardization cares could reduce the incidence of Ventilator
Associated Pneumonia (VAP). This study aimed to evaluate the effect of an artificial airway
standardization cares on the VAP.
Materials & Methods: In this clinical trial, 64 patients were selected among those who had undergone
mechanical ventilation in the ICUs of Al-Zahra Hospital, Isfahan, Iran using convenience sampling
method. Then, the subjects were randomly allocated to intervention and control groups. In the
intervention group the artificial airway standardization cares and in the control group the routine cares
were done. Modified Clinical Pulmonary Infection Score (MCPIS) was completed for all the subjects in
the stages before, third, fourth and fifth day of study.
Results: The results of this study showed that until fourth days of study, the mean score of MCPIS were
similar in both intervention and control groups. But on the fifth day of study the mean score of MCPIS
in the intervention group was significantly lower than control group. Therefore, in order to prevent VAP,
the nurses are recommended to perform this cares.
Conclusions: The results of this study showed that in patients undergoing mechanical ventilation, the
artificial airway standardization cares could lead to the lower increasing in the mean score of MCPIS.
Therefore, in order to prevent VAP, nurses are recommended to perform these cares.