Author Faculty (Discipline)

Nursing

Document Type

Article

Publication Date

11-2019

JOURNAL

Infection Disease and Health

VOLUME NUMBER

24

ISSUE NUMBER

4

PAGE NUMBERS

229-239

ISSN

2468-0451

ANZSRC / FoR Code

111001 Aged Care Nursing| 111002 Clinical Nursing: Primary (Preventative)| 111003 Clinical Nursing: Secondary (Acute Care)| 111706 Epidemiology

Avondale Research Centre

Lifestyle and Health Research Centre

Reportable Items

C1

Abstract

Background

Point prevalence studies identify that pneumonia is the most common healthcare associated infection. However, non-ventilator associated healthcare associated pneumonia (NV-HAP) is both underreported and understudied. Most research conducted to date, focuses on ventilator associated pneumonia. We conducted a systematic review, to provide the latest evidence for strategies to reduce NV-HAP and describe the methodological approaches used.

Methods

We performed a systematic search to identify research exploring and evaluating NV-HAP preventive measures in hospitals and aged-care facilities. The electronic database Medline was searched, for peer-reviewed articles published between 1st January 1998 and 31st August 2018. An assessment of the study quality and risk of bias of included articles was conducted using the Newcastle–Ottawa Scale.

Results

The literature search yielded 1551 articles, with 15 articles meeting the inclusion criteria. The majority of strategies for NV-HAP prevention focussed on oral care (n = 9). Three studies evaluated a form of physical activity, such as passive movements, two studies used dysphagia screening and management; and another study evaluated prophylactic antibiotics. Most studies (n = 12) were conducted in a hospital setting. Six of the fifteen studies were randomised controlled trials.

Conclusion

There was considerable heterogeneity in the included studies, including the type of intervention, study design, methods and definitions used to diagnose the NV-HAP. To date, interventions to reduce NV-HAP appear to be based broadly on the themes of improving oral care, increased mobility or movement and dysphagia management.

Peer Review

Before publication

Comments

© 2019 The Authors. Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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