Adherence to good practices in the prevention of ventilator-associated pneumonia: a cross-sectional study
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Keywords

Ventilator-Associated Pneumonia
Intensive Care
Oral Hygiene
Patient Safety

How to Cite

1.
Silva BC da, Mello LRG de, Henrique DM, Mesquita AF de, Nepomuceno R de M, Almeida LF de, et al. Adherence to good practices in the prevention of ventilator-associated pneumonia: a cross-sectional study. Online Braz J Nurs [Internet]. 2025 Dec. 9 [cited 2026 Jun. 5];24(1):e20256876. Available from: https://objnursing.uff.br/nursing/article/view/6876

Abstract

Objective: To evaluate best practices for preventing ventilator-associated pneumonia in patients on invasive mechanical ventilation admitted to intensive care. Method: This is a cross-sectional, prospective study with a quantitative approach, assessing professionals' adherence to three items that comprise the ventilator-associated pneumonia prevention bundle. Descriptive analysis was based on absolute and relative frequency distributions and calculation of descriptive statistics for quantitative variables. Results: The item with the highest adherence was maintaining the head of the bed elevated, with 68.85% compliance, followed by maintaining cuff pressure between 25 and 30 mmHg, with 55.74%. Oral hygiene had the lowest adherence, with 32.79%. Regarding the entire bundle, the compliance rate was 21.31%. Conclusion: The highest adherence rate was observed for elevating the head of the bed, followed by monitoring cuff pressure, while oral hygiene had the lowest adherence. Maintaining cuff pressure within recommended values ​​was associated with a reduced risk. Furthermore, full adherence to the bundle resulted in a significant reduction in the incidence of ventilator-associated pneumonia.

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