This study is designed to investigate the effect of educational program for nurses about preventive care bundle for prevention of ventilator associated pneumonia among newborns.

Neonatal ventilator associated pneumonia (VAP) is a common nosocomial infection and a frequent reason for empirical antibiotic therapy in NICUs. Ventilator associated pneumonia (VAP) is defined as a nosocomial lower airway infection in intubated patients with onset after 48 h or more of invasive mechanical ventilation.Prevention of VAP has been primarily achieved by the "bundle approach"; this involves the simultaneous application of several preventive strategies for all patients.In Egypt and other developing countries, reports on the success of VAP intervention strategies, particularly among neonates, are scarce. So, it is important to conduct educational programs for nurses about VAP to decrease its incidence.

Inclusion Criteria:

• Gestational age ≥34 weeks
• Intubated newborns and those expected to receive mechanical ventilation for more than 48 hours.

Exclusion Criteria:

• Newborns with diagnosis of pneumonia at the time of admission.
• Newborns developed pneumonia in the first 48 hours of mechanical ventilation.
• Newborns subjected to reintubation.
• Immunosuppressed newborns.