Evidence · Research paper
1142. Implementation and Impact of a Tracheitis Diagnosis and Management Guideline in a Pediatric Intensive Care Unit
- Airway
- Infection and sepsis
- Infection prevention
- Intubation
- Mechanical ventilation
- Medical
- Nursing
- Respiratory
- Tracheostomy
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
A single-centre quality improvement abstract describing development and implementation of a PICU guideline for ventilator-associated tracheitis in intubated or tracheostomised children. The guideline standardised when to send respiratory fluid cultures, diagnostic criteria and antibiotic management in febrile patients without radiographic pneumonia. After implementation the team reported fewer respiratory cultures and reduced overall antibiotic use, with stable ventilator-associated event rates. Relevant to PICU antimicrobial stewardship and ventilator-associated infection practice.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
Guidelines are shown for education. Follow your unit's own guidance and senior advice.