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Effect of Educational Program About Preventive Care Bundle for Prevention of Ventilator Associated Pneumonia Among Newborns

Not Applicable
Not yet recruiting
Conditions
Ventilator Associated Pneumonia
Interventions
Other: educational program about VAP
Registration Number
NCT06066489
Lead Sponsor
Damanhour University
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
137
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
newbornseducational program about VAPthe prevalence of VAP will be assessed among all ventilated newborns who will meet inclusion criteria in the study before implementing the program, immediately and 3 months after the program using PNU1
Nurseseducational program about VAPNurses will be assessed first about their knowledge about VAP then they will receive an educational program about VAP and will be assessed immediately and 3 months after the program
Primary Outcome Measures
NameTimeMethod
prevalence of VAP among newborns ( the number of newborns diagnosed with VAP during the study periodbefore intervention as baseline ( Day 1), immediately after the intervention, 3 months later after intervention

prevalence of VAP will be compared before application of educational program for nurses about preventive care bundle for prevention of VAP and after the program ( immediately, 3 months later) by using centers for disease control and prevention PNU-1

Secondary Outcome Measures
NameTimeMethod
nurses practices about prevention of ventilator associated pneumonia after implementing the training program will be compared by their practices before the intervention using Observational Checklistbefore intervention as baseline(Day 1), immediately after the intervention, 3 months later after intervention

nurses practices will be assessed before and after the intervention immediately and 3 months later using Observational Checklist about their practices and then results compared before and after the intervention by mean percent score

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