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IRCT20180709040402N1 IRCT 2018-09-28 Ahvaz University of Medical Sciences The Effect of Infection Control Guidelines on Incidence of Ventilator-associated Pneumonia. The effect of Infection Control Guidelines implementation on incidence of Ventilator-Associated Pneumonia in hospitalized patients in intensive care unit 2018-06-23 anticipated 130 Complete https://irct.ir/trial/32845 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Ventilator-associated Pneumonia (VAP). Intervention 1: 1. semi recumbent position. 2. use of standard bed in ICU. 3. change of suction equipment (Catheter and tube). 4. use of close suction system. 5. oral intubation technique. 6. chest physiotherapy. 7. use of Heat and Moisture Exchanger (HME) filter. 8. ventilator circuit change. 9. hand washing. 10. Deep Venous Thrombosis prophylaxis. 11.peptic ulcer prophylaxis. 12. use of chlorhexidine gluconate (0.2 or 0.12 percent) mouthwash. 13. subglottic secretion suction. 14. set of Cuff pressure in endotracheal (ET) tubes in the range of 20–30 cm H2O. 15. elevation the head of the bed at 30 to 45 degrees, during and after gavage. Intervention 2: Routine care is performed in the control group and researcher does not intervene. Yes - There is a plan to make this available What will be shared: Study data can be shared after coding When: Start accessing the data three months after the publication of the article To whom: Academic and academic institutions Conditions: Citation to the results of the study, comparison with other studies is permitted. And any copying of results and data forms is impermissible. Where to obtain: Nursing and Midwifery Library, Faculty of Nursing, Jondishapoor University of Medical Sciences, Ahvaz, Iran. Safavi Ali Project Executive. 09188415182 ،Safaviali999@yahoo.com How to obtain: Three months after the publication of the article, dated 2019/04/02, emails or telephone data files will be available. Comments:
public Safavi Ali
Safavi Karim home, 3Shahed Alley ,15 South Khordad
Abdanan Iran (Islamic Republic of) 6971664145 +98 84 3362 3105 Safavi.a@ajums.ac.ir Ahvaz University of Medical Sciences scientific Asadi Zakir Marzieh
Ahvaz, Jundishapur University of Medical Sciences,University of Ahvaz, School of Nursing and Midwifery
Ahvaz Iran (Islamic Republic of) 15794 - 61357 +98 61 3333 2368 marziyehasadizaker@gmail.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Patients admitted to the intensive care unit. Absence of pneumonia before entering the study. Non-Cystic Fibrosis Patients, Pleural Empyema, acquired pneumonia from the community and Neutropenia. did not have aspiration before admission Length of hospitalization is less than 20 days Endotracheal intubation and connected to ventilator 18 years no limit Both Extropulmonary infection Symptoms occur less than 48 hours after mechanical ventilation Patients with incomplete file and clinical information J17 Ventilator-associated Pneumonia (VAP) Prevention Prevention 1. semi recumbent position. 2. use of standard bed in ICU. 3. change of suction equipment (Catheter and tube). 4. use of close suction system. 5. oral intubation technique. 6. chest physiotherapy. 7. use of Heat and Moisture Exchanger (HME) filter. 8. ventilator circuit change. 9. hand washing. 10. Deep Venous Thrombosis prophylaxis. 11.peptic ulcer prophylaxis. 12. use of chlorhexidine gluconate (0.2 or 0.12 percent) mouthwash. 13. subglottic secretion suction. 14. set of Cuff pressure in endotracheal (ET) tubes in the range of 20–30 cm H2O. 15. elevation the head of the bed at 30 to 45 degrees, during and after gavage. Routine care is performed in the control group and researcher does not intervene. Incidence of ventilator associated pneumonia. Timepoint: Before and after the intervention. Method of measurement: Use of modified Clinical Pulmonary Infection Score (mCPIS). The amount of antibiotic use. Timepoint: before and after the intervention. Method of measurement: taking daily dose. Ahvaz University of Medical Sciences Approved 2018-06-08 Ethics Committee of Jundishapur Ahvaz University of Medical Sciences No.Golestan, Esfand St, Jundishapur University of Medical Sciences Ahvaz Khouzestan Iran (Islamic Republic of)