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IRCT201201178650N2 IRCT 2012-02-27 Health Research Center and Nursing Faculty of Baqiyatallah University of Medical Sciences Effect of nursing cares on the incidence of ventilator-associated pneumonia Effect of planned nursing care protocols on the incidence of early ventilator-associated pneumonia 2010-06-22 anticipated 90 Complete https://irct.ir/trial/9138 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A pnuemonia associated- Ventilator. Intervention 1: Oral hygiene using 0.2% chlorhexidine mouthwash every eight hours, teeth brushing every 12 hours , elevating the head of bed to 30-45 degrees, especially while gavaging in cases of no contraindications , maintaining the cuff pressure between 20-30 cm H2O , continuous subglottic suctioning , nurses' personal hygiene (hand washing) before and after contact with patients , sterilization observation and ventilator tube's replacement in cases of significant contamination. Intervention 2: In control group routin nursing cares.
public Dr Abbas Ebadi
Nursing Facultyof Baqiyatallah University of Medical Sciences, Araj, Aqdasiye
Tehran Iran (Islamic Republic of) +98 21 4441 9393 ebadi1347@bmsu.ac.ir Nursing Faculty of Baqiyatallah University of Medical Sciences scientific Dr Abbas Ebadi
Nursing Faculty of Baqiyatallah University of Medical Sciences, Araj, Aqdasiye
Tehran Iran (Islamic Republic of) +98 21 4441 9393 ebadi1347@bmsu.ac.ir Nursing Faculty of Baqiyatallah University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: all patients, ranging in age from 18 to 65 years, admitted to intensive care units and intubated were entered in to the study if having no symptoms indicative of pneumonia (high fever, leukocytosis or leukopenia, lung infiltration, and purulent discharge) and underlying lung problems (chronic obstructive pulmonary disease, lung cancer, and chest trauma) and were monitored for 96 hours after intubation to be under the ventilation for more than 48 hours. Exclusion criteria: toothlessness, suspected pneumonia during intubation, pregnancy and lack of consent for participation by patients and their families, FiO2 >90 and/or PEEP >14cm H2O, and cardiopulmonary arrest and resuscitation. 18 years 65 years Both J20- J22 Other acute lower respiratory infection Prevention N/A Oral hygiene using 0.2% chlorhexidine mouthwash every eight hours, teeth brushing every 12 hours , elevating the head of bed to 30-45 degrees, especially while gavaging in cases of no contraindications , maintaining the cuff pressure between 20-30 cm H2O , continuous subglottic suctioning , nurses' personal hygiene (hand washing) before and after contact with patients , sterilization observation and ventilator tube's replacement in cases of significant contamination. In control group routin nursing cares. Incidence of early ventilator-associated pneumonia. Timepoint: 96 hour after the intervention. Method of measurement: mini-BAL culture and CPIS. Reduce of duration of ventilator. Timepoint: seprating of ventilator. Method of measurement: ventilator day. Nursing Faculty of Baqiyatallah University of Medical Sciences Health Research Center and Nursing Faculty of Baqiyatallah University of Medical Sciences Nursing Faculty of Baqiyatallah University of Medical Sciences Approved 2010-08-20 Nursing Faculty of Baqiyatallah University of Medical Sciences Nursing Faculty, Araj, Aqdasieh Tehran Iran (Islamic Republic of)