Effect of two different feeding methods on preventing ventilator associated pneumonia in the paediatric intensive care unit (PICU): A randomised controlled study |
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| Affiliation: | 1. Istanbul University, Istanbul Faculty of Medicine, Directorate of Nursing Services, Education Nurse, Çapa-Fatih, Istanbul, Turkey;2. Istanbul University, Florence Nightingale Nursing Faculty, Pediatric Nursing Department, Istanbul, Turkey;1. Chair of Microbiology, Jagiellonian University Medical College, Krakow, Poland;2. Division of Neonatology, Loma Linda University Children''s Hospital, Loma Linda, CA, USA;3. Clinic of Neonatology and Intensive Neonatal Care, Warsaw Medical University, Warsaw, Poland;4. Institute of Theoretical and Applied Informatics of Polish Academy of Sciences, Gliwice, Poland;5. Clinic of Neonatology, Polish Mother''s Memorial Hospital-Research Institute, Lodz, Poland;6. Clinic of Neonatology and Intensive Neonatal Care, Institute of Mother and Child, Warsaw, Poland;7. Department of Neonatal Diseases, Pomeranian Medical University, Szczecin, Poland;8. Clinic of Neonatology, Jagiellonian University Medical College, Krakow, Poland;9. Institute of Nature Conservation, Polish Academy of Sciences, Krakow, Poland;1. Department of Nutrition, Miller Children''s Hospital, Long Beach CA 90806, USA;2. Pediatric Critical Care, Miller Children''s Hospital, Long Beach CA 90806, USA;1. Pediatric Intensive Care Unit Service, Hospital de Sant Joan de Déu, Barcelona, Spain;2. Department of Animal Biology-Anthropology, Faculty of Biology, University of Barcelona, Barcelona, Spain;3. Institut de Recerca de la Biodiversitat (IRBIO), University of Barcelona, Barcelona, Spain;4. Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Barcelona, Spain;5. Clinical Pharmacological Service, Hospital de Sant Joan de Déu, Barcelona, Spain;6. Clinical Laboratory Service, Hospital de Sant Joan de Déu, Barcelona, Spain;1. Department of Anaesthesia and Pain Management, Lady Cilento Children''s Hospital, Queensland, Australia;2. Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Queensland, Australia;3. Paediatric Critical Care Research Group, Mater Research Institute, The University of Queensland, Australia;4. Paediatric Intensive Care Unit, Lady Cilento Children''s Hospital, Queensland, Australia;5. Intensive Care Unit, Princess Alexandra Hospital, Queensland, Australia;6. School of Medicine, The University of Queensland, Queensland, Australia;1. Nutrition Services, Alberta Health Services, Edmonton, Alberta, Canada;2. Department of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, Alberta, Canada;3. Women and Children''s Health Research Institute (WCHRI), University of Alberta, Edmonton, Alberta, Canada;4. Department of Pediatrics, University of Alberta, Stollery Children''s Hospital, Edmonton, Alberta, Canada |
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| Abstract: | BackgroundFor infants and children who require intubation in the paediatric intensive care unit (PICU), ventilator-associated pneumonia (VAP) is a significant cause of secondary morbidity and mortality linked with extended use of intubation. Nurses are primarily responsible for the prevention of VAP and there are a number of procedures that contribute towards this end. Although enteral nutrition has been reported to be effective in the prevention of VAP, this remains controversial.ObjectiveTo compare and evaluate the effects of intermittent feeding through a nasogastric catheter with those of continuous feeding through a nasoduodenal catheter in preventing VAP in the PICU.DesignThe research design was a randomised, controlled experimental study.MethodsForty paediatric patients were randomised and divided into two groups of 20: one group for nasoduodenal (ND) feeding and the other for nasogastric (NG) feeding. Patients were assessed for the development of VAP using the clinical pulmonary infection score and Centers for Disease Control and Prevention criteria while working in accordance with the VAP prevention bundles introduced within the unit.ResultsThe incidence of paediatric VAP was 15%. The rate of VAP in patients who were ND fed was 10%, whereas the rate of VAP in patients who had NG feeding was 20%. No statistically significant difference was observed between the ND- and NG-fed patients (p = 0.661).ConclusionAlthough the results of our study were not statistically significant, nasoduodenal feeding helped to reduce the incidence of VAP. |
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| Keywords: | Critical care nursing Paediatrics Intensive care Nutrition Ventilator-associated pneumonia |
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