NOVÁ DOPORUČENÍ / NEW RECOMMENDATIONS Prevence vzniku ventilátorové pneumonie – souhrn aktuálních doporučení | 117 / Anest intenziv Med. 2025;36(2):110-119 / ANESTEZIOLOGIE A INTENZIVNÍ MEDICÍNA www.aimjournal.cz PROHLÁŠENÍ AUTORŮ: Prohlášení o použití AI: Potvrzujeme, že autoři při psaní tohoto odborného článku nepoužili žádnou formu umělé inteligence. Všechny informace a analýzy jsou výsledkem jejich vlastního výzkumu, zkušeností a úsudku s důrazem na relevantní literaturu, primární zdroje a konzultace s odborníky v oboru. Prohlášení o původnosti: Potvrzujeme, že je práce původní a nebyla publikována ani není zaslána k recenznímu řízení do jiného média. Střet zájmů: Autoři nemají střet zájmů v souvislosti s tématem práce. Potvrzujeme, že všichni autoři rukopis četli, souhlasí s jeho zněním a zasláním do redakce časopisu Anesteziologie a intenzivní medicína. Podíl autorů: Zoubková R. – psaní, konceptualizace, vedení, Swiatkowská M. - psaní, konceptualizace, Glac T. – formální analýza, Madzivá S. – formální analýza, Haltofová A. – formální analýza, Rusková K. - formální analýza, Nytra I. – osobní účast při provádění analýzy, Pospíšilová J. – osobní účast při provádění analýzy, Kučerová Z. – osobní účast při provádění analýzy, Ševčík, P. – vedení a koordinace. Financování: Nebyly použity žádné finanční podpory práce. LITERATURA 1. Goel V, Gupta S, Goel T. Ventilator‑associated pneumonia: A review of the clinically relevant challenges in diagnosis and prevention. Br J Med Pract. 2016;9(2):910-918. 2. Magill SS, O’Leary E, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al; Emerging Infections Program Hospital Prevalence Survey Team. Changes in Prevalence of Health Care ‑Associated Infections in U.S. Hospitals. N Engl J Med. 2018 Nov 1;379(18):1732-1744. doi: 10.1056/NEJMoa1801550. PMID: 30380384; PMCID: PMC7978499. 3. Walter J, Haller S, Quinten C, Kärki T, Zacher B, Eckmanns T, et al; ECDC PPS study group. Healthcare‑associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012. Euro Surveill. 2018 Aug;23(32):1700843. doi: 10.2807/1560-7917.ES.2018. 23. 32.1700843. PMID: 30107871; PMCID: PMC6092912. 4. Kollef MH, Hamilton CW, Ernst FR. Economic impact of ventilator‑associated pneumonia in a large matched cohort. Infect Control Hosp Epidemiol. 2012 Mar;33(3):250-6. doi: 10.1086/664049. Epub 2012 Jan 17. PMID: 22314062. 5. Álvarez Lerma F, Sánchez García M, Lorente L, Gordo F, Añón JM, Álvarez J, et al; Sociedad Española de Medicina Intensiva; Sociedad Española de Enfermería Intensiva. Guidelines for the prevention of ventilator‑associated pneumonia and their implementation. The Spanish „Zero‑VAP“ bundle. Med Intensiva. 2014 May;38(4):226-36. English, Spanish. doi: 10.1016/j.medin.2013. 12. 007. Epub 2014 Mar 1. PMID: 24594437. 6. Oliveira J, Zagalo C, Cavaco‑Silva P. Prevention of ventilator‑associated pneumonia. Rev Port Pneumol. 2014 May‑Jun;20(3):152-61. English, Portuguese. doi: 10.1016/j. rppneu.2014. 01. 002. Epub 2014 Mar 24. PMID: 24674617. 7. Mietto C, Pinciroli R, Patel N, Berra L. Ventilator associated pneumonia: evolving definitions and preventive strategies. Respir Care. 2013 Jun;58(6):990-1007. doi: 10.4187/respcare.02380. PMID: 23709196. 8. Dostál P. Základy umělé plicní ventilace. 5. rozš. vyd. Praha: Maxdorf; 2023. 469 s. ISBN 978-80-7345-759-4. 9. Magill SS, Klompas M, Balk R, Burns SM, Deutschman CS, Diekema D, et al. Developing a new, national approach to surveillance for ventilator‑associated events*. Crit Care Med. 2013 Nov;41(11):2467-75. doi: 10.1097/CCM.0b013e3182a262db. PMID: 24162674; PMCID: PMC10847970. 10. 10. Ventilator‑Associated event protocol. Centers for Disease Control andPrevention website. http://www.cdc.gov/nhsn/acute‑care‑hospital/vae/index.html. Published March 25, 2014. Accessed March 31, 2022. 11. Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB, et al. Management of Adults With Hospital‑acquired and Ventilator‑associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect, DiS. 2016 Sep 1;63(5):e61-e111. doi: 10.1093/cid/ciw353. Epub 2016 Jul 14. Erratum in: Clin Infect, DiS. 2017 May 1;64(9):1298. doi: 10.1093/cid/ciw799. Erratum in: Clin Infect, DiS. 2017 Oct 15;65(8):1435. doi: 10.1093/cid/cix587. Erratum in: Clin Infect, DiS. 2017 Nov 29;65(12):2161. doi: 10.1093/cid/cix759. PMID: 27418577; PMCID: PMC4981759. 12. Lau AC, So HM, Tang SL, Yeung A, Lam SM, Yan WW; Hong Kong East Cluster Task Force on Prevention of Ventilator‑associated Pneumonia in Critical Care Areas. Prevention of ventilator‑associated pneumonia. Hong Kong Med J. 2015 Feb;21(1):61-8. doi: 10.12809/ hkmj144367. Epub 2015 Jan 16. PMID: 25593193. 13. Pneumonia – Causes, Symptoms and Treatment. Healthfacts.ng [online]. iQube Labs, 2016 Dostupné z: http://healthfacts.ng/pneumonia‑about/ 14. Herkel T, Uvizl R, Doubravska L, Adamus M, Gabrhelik T, Htoutou Sedlakova M, et al. Epidemiology of hospital‑acquired pneumonia: Results of a Central European multicenter, prospective, observational study compared with data from the European region. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016 Sep;160(3):448-55. doi: 10.5507/ bp.2016.014. Epub 2016 Mar 17. PMID: 27003315. 15. Wałaszek M, Kosiarska A, Gniadek A, Kołpa M, Wolak Z, Dobroś W, et al. The risk factors for hospital‑acquired pneumonia in the Intensive Care Unit. Przegl Epidemiol. 2016;70(1):1520, 107-10. English, Polish. PMID: 27344468. 16. Lewis SC, Li L, Murphy MV, Klompas M; CDC Prevention Epicenters. Risk factors for ventilator‑associated events: a case‑control multivariable analysis. Crit Care Med. 2014 Aug;42(8):1839-48. doi: 10.1097/CCM.0000000000000338. PMID: 24751498; PMCID: PMC4451208. 17. Lahoorpour F, Delpisheh A, Afkhamzadeh A. Risk factors for acquisition of ventilator ‑associated pneumonia in adult intensive care units. Pak J Med Sci. 2013 Sep;29(5):1105-7. doi: 10.12669/pjms.295.3375. PMID: 24353700; PMCID: PMC3858932. 18. Klompas M, Branson R, Cawcutt K, Crist M, Eichenwald EC, Greene LR, et al. Strategies to prevent ventilator‑associated pneumonia, ventilator‑associated events, and nonventilator hospital‑acquired pneumonia in acute‑care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022 Jun;43(6):687-713. doi: 10.1017/ice.2022. 88. Epub 2022 May 20. PMID: 35589091; PMCID: PMC10903147. 19. Garcia R, Jendresky L, Colbert L, Bailey A, Zaman M, Majumder M. Reducing ventilator ‑associated pneumonia through advanced oral‑dental care: a 48-month study. Am J Crit Care. 2009 Nov;18(6):523-32. doi: 10.4037/ajcc2009311. Epub 2009 Jul 27. PMID: 19635805. 20. Takeyasu Y, Yamane GY, Tonogi M, Watanabe Y, Nishikubo S, Serita R, et al. Ventilator ‑associated pneumonia risk decreased by use of oral moisture gel in oral health care. Bull Tokyo Dent Coll. 2014;55(2):95-102. doi: 10.2209/tdcpublication.55. 95. PMID: 24965954. 21. Nobahar M, Razavi MR, Malek F, Ghorbani R. Effects of hydrogen peroxide mouthwash on preventing ventilator‑associated pneumonia in patients admitted to the intensive care unit. Braz J Infect, DiS. 2016 Sep‑Oct;20(5):444-50. doi: 10.1016/j.bjid.2016. 06. 005. Epub 2016 Jul 26. PMID: 27471125; PMCID: PMC9425535. 22. Zhao T, Wu X, Zhang Q, Li C, Worthington HV, Hua F. Oral hygiene care for critically ill patients to prevent ventilator‑associated pneumonia. Cochrane Database Syst Rev. 2020 Dec 24;12(12):CD008367. doi: 10.1002/14651858.CD008367.pub4. PMID: 33368159; PMCID: PMC8111488. 23. Gu WJ, Gong YZ, Pan L, Ni YX, Liu JC. Impact of oral care with versus without toothbrushing on the prevention of ventilator‑associated pneumonia: a systematic review and meta‑analysis of randomized controlled trials. Crit Care. 2012 Oct 12;16(5):R190. doi: 10.1186/cc11675. PMID: 23062250; PMCID: PMC3682292. 24. Collins T, Plowright C, Gibson V, Stayt L, Clarke S, Caisley J, et al. British Association of Critical Care Nurses: Evidence‑based consensus paper for oral care within adult critical care units. Nurs Crit Care. 2021 Jul;26(4):224-233. doi: 10.1111/nicc.12570. Epub 2020 Oct 29. PMID: 33124119. 25. Winning L, Lundy FT, Blackwood B, McAuley DF, El Karim I. Oral health care for the critically ill: a narrative review. Crit Care. 2021 Oct 1;25(1):353. doi: 10.1186/s13054-021-037655. PMID: 34598718; PMCID: PMC8485109. 26. Blot S, Conoscenti E, Klompas M. Should we still use chlorhexidine oral care? No! Intensive Crit Care Nurs. 2025 Apr;87:103954. doi: 10.1016/j.iccn.2025.103954. Epub 2025 Jan 26. PMID: 39870012. 27. Dale CM, Rose L, Carbone S, Pinto R, Smith OM, Burry L, et al. Effect of oral chlorhexidine de‑adoption and implementation of an oral care bundle on mortality for mechanically ventilated patients in the intensive care unit (CHORAL): a multi‑center stepped wedge cluster‑randomized controlled trial. Intensive Care Med. 2021 Nov;47(11):1295-1302. doi: 10.1007/s00134-021-06475-2. Epub 2021 Oct 5. PMID: 34609548; PMCID: PMC8490143. 28. Lorente L, Blot S, Rello J. Evidence on measures for the prevention of ventilator‑associated pneumonia. Eur Respir J. 2007 Dec;30(6):1193-207. doi: 10.1183/09031936.00048507. PMID: 18055704. 29. Zolfaghari PS, Wyncoll DL. The tracheal tube: gateway to ventilator‑associated pneumonia. Crit Care. 2011;15(5):310. doi: 10.1186/cc10352. Epub 2011 Sep 29. PMID: 21996487; PMCID: PMC3334734. 30. Pozuelo‑Carrascosa DP, Herráiz‑Adillo Á, Alvarez‑Bueno C, Añón JM, Martínez‑Vizcaíno V, Cavero‑Redondo I. Subglottic secretion drainage for preventing ventilator‑associated pneumonia: an overview of systematic reviews and an updated meta‑analysis. Eur Respir Rev. 2020 Feb 12;29(155):190107. doi: 10.1183/16000617.0107-2019. Erratum in: Eur Respir Rev. 2022 Mar 23;31(163):220013. doi: 10.1183/16000617.0013-2022. Erratum in: Eur Respir Rev. 2022 Mar 23;31(163):195107. doi: 10.1183/16000617.5107-2019. PMID: 32051169; PMCID: PMC9488747. 31. Caserta RA, Marra AR, Durão MS, Silva CV, Pavao dos Santos OF, Neves HS, et al. A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting. BMC Infect, DiS. 2012 Sep 29;12:234. doi: 10.1186/1471-2334-12-234. PMID: 23020101; PMCID: PMC3521195. 32. Coppadoro A, Bittner E, Berra L. Novel preventive strategies for ventilator‑associated pneumonia. Crit Care. 2012 Dec 12;16(2):210. doi: 10.1186/cc11225. PMID: 22429668; PMCID: PMC3681356.
RkJQdWJsaXNoZXIy NDA4Mjc=