简化预防组合与双重手卫生审计减少早发性呼吸机相关性肺炎数据集

数据集获取（Figshare）

• 源站标题：A simplified prevention bundle with dual hand hygiene audit reduces early-onset ventilator-associated pneumonia in cardiovascular surgery units: An interrupted time-series analysis
• DOI：10.1371/journal.pone.0182252
• 发布日期：2017-08-02
• 文件数：6 个
• 文件总体积：1.77 MB
• 源站页面：https://plos.figshare.com/articles/dataset/A_simplified_prevention_bundle_with_dual_hand_hygiene_audit_reduces_early-onset_ventilator-associated_pneumonia_in_cardiovascular_surgery_units_An_interrupted_time-series_analysis/5270173

命令行下载

curl -L -o "S1 Appendix.docx" "https://ndownloader.figshare.com/files/9025867"
curl -L -o "S2 Appendix.docx" "https://ndownloader.figshare.com/files/9025888"
curl -L -o "S3 Appendix.docx" "https://ndownloader.figshare.com/files/9025915"
curl -L -o "S1 Table.docx" "https://ndownloader.figshare.com/files/9025951"
curl -L -o "S1 Fig.docx" "https://ndownloader.figshare.com/files/9025981"
curl -L -o "S2 Fig.docx" "https://ndownloader.figshare.com/files/9025987"

文件清单

• S1 Appendix.docx（16.23 KB）
• S2 Appendix.docx（18.32 KB）
• S3 Appendix.docx（185.66 KB）
• S1 Table.docx（17.00 KB）
• S1 Fig.docx（596.21 KB）
• S2 Fig.docx（933.84 KB）

文件总体积 1.77 MB（源站 API 实测）。

数据说明

Background
To investigate the effect of a simplified prevention bundle with alcohol-based, dual hand hygiene (HH) audit on the incidence of early-onset ventilation-associated pneumonia (VAP).
Methods
This 3-year, quasi-experimental study with interrupted time-series analysis was conducted in two cardiovascular surgery intensive care units in a medical center. Unaware external HH audit (eHH) performed by non-unit-based observers was a routine task before and after bundle implementation. Based on the realistic ICU settings, we implemented a 3-component bundle, which included: a compulsory education program, a knowing internal HH audit (iHH) performed by unit-based observers, and a standardized oral care (OC) protocol with 0.1% chlorhexidine gluconate. The study periods comprised 4 phases: 12-month pre-implementation phase 1 (eHH+/education-/iHH-/OC-), 3-month run-in phase 2 (eHH+/education+/iHH+/OC+), 15-month implementation phase 3 (eHH+/education+/iHH+/OC+), and 6-month post-implementation phase 4 (eHH+/education-/iHH+/OC-).
Results
A total of 2553 ventilator-days were observed. VAP incidences (events/1000 ventilator days) in phase 1–4 were 39.1, 40.5, 15.9, and 20.4, respectively. VAP was significantly reduced by 59% in phase 3 (vs. phase 1, incidence rate ratio [IRR] 0.41, P = 0.002), but rebounded in phase 4. Moreover, VAP incidence was inversely correlated to compliance of OC (r2 = 0.531, P = 0.001) and eHH (r2 = 0.878, P P Conclusions
This simplified prevention bundle effectively reduces early-onset VAP incidence. An unaware HH compliance correlates with VAP incidence. A knowing HH audit provides better improvement in HH practice. Accordingly, we suggest dual HH audit and consistent bundle performance does matter in quality-of-care VAP prevention.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0182252（source: https://plos.figshare.com/articles/dataset/A_simplified_prevention_bundle_with_dual_hand_hygiene_audit_reduces_early-onset_ventilator-associated_pneumonia_in_cardiovascular_surgery_units_An_interrupted_time-series_analysis/5270173）。