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| Name | Class |
|---|---|
| Ilaria Vitali | UNKNOWN |
| Antonio Maria Dell Anna | UNKNOWN |
| Leonardo Dassatti | UNKNOWN |
| Giuseppe Bello |
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This observational monocentric prospective study aims to evaluate the efficacy of new measures for ventilator associated pneumonia (VAP) management in the pediatric population in the pediatric intensive care unit (PICU) of Fondazione Policlinico Agostino Gemelli of 8 beds. The investigators will compare the incidence of VAP in the group of patients in which this protocol has been implemented to a retrospective control group of patients before the new protocol implementation. VAP bundle includes oral care hygiene measures (i.e chlorhexidine swab), to keep clean and dry ventilator circuits and head positioning at 45 degrees.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrospective control group | Patients admitted in our PICU before the implementation of the protocol for VAP prevention (from 01/01/2016 to 12/31/2017) |
| |
| Prospective group | Patients admitted to our PICU since the VAP bundle has been introduced in the clinical practice (from 01/01/2018) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Measures for the VAP prevention in the PICU | Other | Oral hygiene care (i.e chlorhexidine swab); clean and dry ventilator circuits; head positioning at 45 degrees. |
|
| Measure | Description | Time Frame |
|---|---|---|
| VAP incidence | Incidence of VAP in pediatric patients intubated for more than 48 hours | From 48 hours after intubation to 48 hours after extubation |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of orotracheal bacterial colonization in ventilated patients | Evaluation of orotracheal bacterial colonization in pediatric patients undergoing mechanical ventilation twice a week | From 48 hours after intubation to 48 hours after extubation |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric patients admitted to our ICU requiring mechanical ventilation for more than 48 hours
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Orazio Genovese, MD | Contact | 0630153125 | orazio.genovese@policlinicogemelli.it |
| Name | Affiliation | Role |
|---|---|---|
| Giorgio Conti, MD | Università Cattolica del Sacro Cuore; Fondazione Policlinico Universitario Agostino Gemelli; IRCCS | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondazione Policlinico Universitario Agostino Gemelli | Recruiting | Roma | RM | 00168 | Italy |
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| ID | Term |
|---|---|
| D053717 | Pneumonia, Ventilator-Associated |
| ID | Term |
|---|---|
| D000077299 | Healthcare-Associated Pneumonia |
| D003428 | Cross Infection |
| D007239 | Infections |
| D011014 | Pneumonia |
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| ID | Term |
|---|---|
| D014894 | Weights and Measures |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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| UNKNOWN |
| Giorgio Conti | UNKNOWN |
| Antonio D Addona | UNKNOWN |
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| Evaluation of VAP incidence before the protocol introduction | Other | evaluation of VAP incidence in our pediatric population of intensive care patients before the implementation of the protocol for VAP prevention |
|
| D012141 |
| Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |