Ventilator-associated pneumonia (VAP) is a common ER-acquired illness, especially in pediatric Intensive Care Units, and ranks as the second most common. It is defined as pneumonia that develops 48 hours or more after mechanical breathing is started. Besides, it occurs when microorganisms are introduced to a clean lower respiratory tract and parenchyma of the lung by the migration of the aerodigestive stretch, or dirty hardware or medications. VAP occurs in patients receiving mechanical ventilation. Ventilator-acquired pneumonia is an infection in the lungs that occurs after a patient has been on mechanical support for more than 48 hours. In summary, ventilator-associated pneumonia is a significant issue for ventilator-dependent patients since it is a healthcare-associated illness with potentially fatal implications.
Ventilator-associated pneumonia (VAP) corresponds with the work of Dr. William Edwards Deming quality management concept evolved through time. In Chapter 2 of “Out of Crisis,” he outlined his “fourteen Points” for transforming western-style management. One of Deming’s fourteen points is to reduce your reliance on inspection to attain quality. He affirms the need for extensive examination by designing quality into the product from the start. That applies in this case of VAP given that it usually emanates from poor quality healthcare that is over reliant on occasional inspections rather than cultivating quality from the beginning in the ventilators. Each hospital must self-evaluate and choose where their priorities lay among the different bundles that may be used, whether it is a bundle for ventilator only patients or a bundle for ventilator preventative patients. This approach centered on providing proper periodontal care to patients who were at low, moderate, or high risk of developing ventilator-associated pneumonia
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