Mitchell, Brett G., Russo, Philip L., Cheng, Allen C., Stewardson, Andrew J., Rosebrock, Hannah, Curtis, Stephanie J., Robinson, Sophia and Kiernan, Martin ORCID: https://orcid.org/0000-0001-9926-7781 (2019) Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: a systematic review. Infection, Disease & Health, 24 (4). pp. 229-239. ISSN 2468-0451

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Abstract

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.

Item Type:	Article
Identifier:	10.1016/j.idh.2019.06.002
Keywords:	Infection control; Healthcare-associated pneumonia; Nursing care; Systematic review
Subjects:	Medicine and health
Depositing User:	Users 3908 not found.
Date Deposited:	08 Jul 2019 12:38
Last Modified:	04 Nov 2024 11:53
URI:	https://repository.uwl.ac.uk/id/eprint/6222

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