Profile of patients in private home care who developed ventilator-associated pneumonia

Perfil de pacientes en asistencia domiciliaria privada que desarrollaron neumonía asociada a la ventilación mecánica)

ABSTRACT

Objectives:

to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.

Methods:

this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.

Results:

the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.

Conclusions:

patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.

Descriptors:
Home Care Services; Pneumonia; Ventilator-Associated; Intensive Care Units; Health Systems Agencies; Respiration; Artificial