- Title
- Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: a systematic review
- Creator
- Mitchell, Brett G.; Russo, Philip L.; Cheng, Allen C.; Stewardson, Andrew J.; Rosebrock, Hannah; Curtis, Stephanie J.; Robinson, Sophia; Kiernan, Martin
- Relation
- Infection, Disease and Health Vol. 24, Issue 4, p. 229-239
- Publisher Link
- http://dx.doi.org/10.1016/j.idh.2019.06.002
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2019
- Description
- Background: Point prevalence studies identify that pneumonia is the most common healthcare associated infection. However, non-ventilator associated healthcare associated pneumonia (NV-HAP) is both underreported and understudied. Most research conducted to date, focuses on ventilator associated pneumonia. We conducted a systematic review, to provide the latest evidence for strategies to reduce NV-HAP and describe the methodological approaches used. Methods: We performed a systematic search to identify research exploring and evaluating NV-HAP preventive measures in hospitals and aged-care facilities. The electronic database Medline was searched, for peer-reviewed articles published between 1st January 1998 and 31st August 2018. An assessment of the study quality and risk of bias of included articles was conducted using the Newcastle-Ottawa Scale. Results: The literature search yielded 1551 articles, with 15 articles meeting the inclusion criteria. The majority of strategies for NV-HAP prevention focussed on oral care (n = 9). Three studies evaluated a form of physical activity, such as passive movements, two studies used dysphagia screening and management; and another study evaluated prophylactic antibiotics. Most studies (n = 12) were conducted in a hospital setting. Six of the fifteen studies were randomised controlled trials. Conclusion: There was considerable heterogeneity in the included studies, including the type of intervention, study design, methods and definitions used to diagnose the NV-HAP. To date, interventions to reduce NV-HAP appear to be based broadly on the themes of improving oral care, increased mobility or movement and dysphagia management.
- Subject
- infection control; healthcare-associated pneumonia; nursing care; systematic review; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1445862
- Identifier
- uon:42697
- Identifier
- ISSN:2468-0451
- Language
- eng
- Reviewed
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