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Antimicrobial Stewardship Program and Ventilator Associated Pneumonia

Ventilator Associated Pneumonia Clinical Trial

Official title:
Impact of Implementation of Antimicrobial Stewardship Comprehensive Care Bundle Program on Ventilator Associated Pneumonia in Surgical Intensive Care Unit

Clinical Trial Summary

Antibiotic Stewardship Programs (ASPs) help clinicians improve the quality of patient care and improve patient safety through increased infection cure rates, reduced treatment failures; however, there are different techniques, with variable results, of its application including what is called ASPs bundle and there is a need to investigate the effectiveness of implementing a comprehensive care bundle program including the key components of ASPs and the key items of infection control measures, this program can be called Antimicrobial Stewardship Comprehensive Care Bundle Program (ASCCBP).

Clinical Trial Description

Survey experimental study will be done in the first 6 months as regard antimicrobial drugs pattern and organism's sensitivity and resistance pattern in VAP patients.

In the next six months, clinical implementation of ASPs and infection control bundle will be applied on VAP patients. Then, in the later six months the investigators will study the outcome of VAP patients as regard:

- Amount of cost of antibiotics.

- Appropriates of antibiotic use (initiation, duration & time of discontinuation).

- Rate of resistance

- Clinical outcome, infection rate &length of stay.

Regular reports on antibiotic use and resistance will be admitted to relevant staff every one month. Also, audit and feedback about resistance and optimal prescribing will be applied every one month for ICU stuff as an open discussion.

The stewardship consulting team will include microbiologist with clinical experience in the field of antibiotic use and infection control. Stewardship team also will include the relevant ICU staff and an experienced clinical pharmacist. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04097899
Study type Observational
Source Zagazig University
Contact
Status Completed
Phase
Start date July 1, 2016
Completion date December 31, 2017
View Details
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