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What’s New in the Patient Safety World

June 2022

Guideline Update: Preventing Hospital-Acquired Pneumonia

 

 

The 2022 update of “Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals” has just been published (Klompas 2022). This is the first update since 2014 and is the collaborative work of the Society for Healthcare Epidemiology (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and The Joint Commission. Representatives from multiple other organizations and societies also contributed.

 

The major changes are summarized below:

 

 

Importantly, several practices are “Not Recommended”:

 

There is also a new section on prevention of nonventilator hospital-acquired pneumonia (NV-HAP). This section emphasizes oral care, recognizing and managing dysphagia, early mobilization, and implementing multimodal approaches to prevent viral infections. It also notes there is insufficient evidence regarding any recommendations about bed positioning or stress-ulcer prophylaxis and it states that systemic antibiotic prophylaxis is not generally recommended.

 

The guideline update is comprehensive and provides the rationales for each of the recommendations and has almost 400 references.

 

 

Some of our prior columns on HAI’s (hospital-acquired infections):

 

December 28, 2010     HAI’s: Looking In All The Wrong Places

October 2013              HAI’s: Costs, WHO Hand Hygiene, etc.

February 2015             17% Fewer HAC’s: Progress or Propaganda?

April 2016                   HAI’s: Gaming the System?

September 2016          More on Preventing HAI’s

November 2018          Privacy Curtains Shared Rooms and HAI’s

December 2018           HAI Rates Drop

January 2019               Oral Decontamination Strategy Fails

February 2019             Infection Prevention for Anesthesiologists

March 2019                 Does Surgical Gowning Technique Matter?

May 2019                    Focus on Prophylactic Antibiotic Duration

July 2019                    HAI’s and Nurse Staffing

February 2020             NICU: Decolonize the Parents

June 16, 2020              Tracking Technologies

August 2020               Surgical Site Infections and Laparoscopy

December 2020           Do You Have These Infection Control Vulnerabilities?

May 2021                    CLABSI’s Up in the COVID-19 Era

August 2021               Updated Guidelines on C. diff

October 2021              HAI’s Increase During COVID-19 Pandemic

 

 

References:

 

 

Klompas M, Branson R, Cawcutt K, et al.. Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol 2022; 20: 1-27

https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/strategies-to-prevent-ventilatorassociated-pneumonia-ventilatorassociated-events-and-nonventilator-hospitalacquired-pneumonia-in-acutecare-hospitals-2022-update/A2124BA9B088027AE30BE46C28887084

 

 

 

 

 

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