The Effect of Age and Length of Stay on the Incidence of Ventilator Associated Pneumonia (VAP) in the ICU of Royal Prima Ayahanda Hospital During the 2022-2024 Period
DOI:
10.29303/jppipa.v11i11.13255Published:
2025-11-25Downloads
Abstract
Veintilatoir-assoiciateid pneiumoinia (VAP) is thei moist coimmoin noisoicoimial infeictioin affeicting patieints in inteinsivei carei units. Veintilatoir-assoiciateid pneiumoinia (VAP) is deifineid as pneiumoinia that oiccurs 48 hoiurs oir moirei afteir thei initiatioin oif meichanical veintilatioin. Thei aim oif this study was deiteirminei thei reilatioinship beitweiein agei and thei incideincei oif VAP, as weill as thei reilatioinship beitweiein thei leingth oif hoispital stay and thei incideincei oif VAP amoing ICU patieints at Roiyal Prima Ayahanda Hoispital during thei 2022-2024 peirioid whoi weirei using meichanical veintilatoirs. This study eimploiyeid a croiss-seictioinal deisign. Thei samplei coinsisteid oif 125 patieints, seileicteid using a coinseicutivei sampling teichniquei. Thei data useid weirei seicoindary data oibtaineid froim meidical reicoirds. Thei statistical teist applieid weirei Fisheir’s Eixact. Thei reisult shoiweid that 12 reispoindeints (9.6%) deiveiloipeid VAP in thei ICU oif Roiyal Prima Ayahanda Hoispital. Statistical analysis reiveialeid a p-valuei oif 0.342 beitweiein agei and thei incideincei oif VAP, and a p-valuei oif 0.003 beitweiein thei leingth oif hoispital stay and thei incideincei oif VAP. Thei coinclusioin oif this study is that theirei is a reilatioinship beitweiein agei and thei incideincei oif VAP, as weill as reilatioinship beitweiein thei leingth oif hoispital stay and thei incideincei oif VAP.
Keywords:
Age, Leingth oif stay, Meichanical veintilatioin, VAPReferences
Abou Zed, S. A. F., & Mohammed, A. A. (2019). Impact of nursing Guidelines on Nurses’ Knowledge and Performance Regarding to Prevention of Ventilator Associated Pneumonia in Neonates. Journal of Nursing Education and Practice, 9(10), 15. https://doi.org/10.5430/jnep.v9n10p15
Akhter, N., Zhou, X., Elhabashy, S., & Ehsanul Huq, K. A. T. M. (2025). Evidence-Based Practices to Prevent Ventilator-Associated Pneumonia in an Intensive Care Unit in Bangladesh. Healthcare, 13(21), https://doi.org/10.3390/healthcare13212782
Amini, N., Rezaei, K., Bahrami, M., & Yazdannik, A. (2020). Effect of Nebulized Eucalyptus on Ventilator Associated Pneumonia in Ventilated Patients. Journal of Medicinal Plants, 4(72), 299-307. https://doi.org/10.29252/jmp.4.72.S12.299
Apriyani, A., Syahri, H., & Ardianty, S. (2021). A Literatur Review: Factors Related to Nurse’s Knowledge of Prevention of Ventilator Associated Pneumonia (VAP) in ICU. Masker Medika, 9(1), 372–384. Retrieved from https://jmm.ikestmp.ac.id/index.php/maskermedika/article/view/444
Azab, S. F. A., Sherbiny, H. S., Saleh, S. H., Elsaeed, W. F., Elshafiey, M. M., Siam, A. G., Arafa, M. A., Alghobashy, A. A., Bendary, E. A., Basset, M. A. A., Ismail, S. M., Akeel, N. E., Elsamad, N. A., mokhtar, W. A., & Gheith, T. (2015). Reducing ventilator-associated pneumonia in neonatal intensive care unit using “VAP prevention Bundle”: A cohort study. BMC Infectious Diseases, 15(1), 4–10. https://doi.org/10.1186/s12879-015-1062-1
Atmaja, H. K. (2018). Komparasi Pemberian Hexadol dan Chlorhexidine sebagai Oral Hygiene terhadap Pencegahan Ventilator Associated Pneumonia (VAP). Jurnal Kesehatan Prima, 8(1), 1185–1191. https://doi.org/10.32807/jkp.v8i1.39
Bakhtiari, S., Abbasi, S., Yazdannik, A., Bahrami, N. (2015). The Effect of an Upper Respiratiory Care Program on Incidence of Ventilator-Associated Pnemonia in Mechanically Ventilated Patients Hospitalized in Intensive Care Units. Iranian Journal of Nursing and Midwifery Research, 20(3), 354-358. https://doi.org/10.4103/1735-9066.157837
Buchler, A., Jackson, H., Buetti, N., & Boroli, F. (2025). Sustained effect of a multifaceted VAP prevention program over more than seven years including the COVID-19 pandemic. Antimicrobial Resistance & Infection Control, 14(1), https://doi.org/10.1186/s13756-025-01646-y
Buston, E., & Hariadi, E. (2020). Hubungan Jumlah Sekret dengan Kejadian VAP (Ventilator Associated Pneumonia) pada Pasien di ICU RSUD Dr. M. Yunus Bengkulu. Journal of Nursing and Public Health, 8(2), 22-26. https://doi.org/10.37676/jnph.v8i2.1176
Chuandy, I., Ardana, & Putro, B. N. (2021). Perbedaan Efektivitas Iodine Povidone 1% dan Listerine® sebagai Preparat Perawatan Mulut terhadap Pencegahan Ventilator Associated Pneumonia. Majalah Anestesia & Critical Care, 39(3), 145–151. https://doi.org/10.55497/majanestcricar.v39i3.229
Corrieto, A., Soloperto, R., Giglio, M., & Salvagno, M. (2025). Probiotics to reduce ventilator-associated pneumonia in adults with acute non anoxic brain injury: Study Protocol for a Double-Blind Multicenter Randomized International Clinical Trial (PROACT). Trials, 26(1), 484. https://doi.org/10.1186/s13063-025-09230-w
Cooper, V. B., & Haut, C. (2013). Preventing Ventilator-Associated Pneumonia in Children: An Evidence-Based Protocol. Critical Care Nurse, 33(3), 21–29. https://doi.org/10.4037/ccn2013204
Essa, J. M. A., Alabbas, Z. E., Alhamoud, B.A., & Alaskari, Z. A. (2024). The Role Of Respiratory Therapists And Nursing In Reducing And Preventing Of Ventilator-Associated Pneumonia. Saudi Journal of Medicine and Public Health, 1(1), 315-335. https://doi.org/10.64483/20251144
Fatmawati, R., Kusumajaya, H., & Ardiansyah, A. (2023). Faktor-faktor yang Berhubungan dengan Pengetahuan Perawat dalam Pencegahan Ventilator Associated Pneumonia. Jurnal Penelitian Perawat Profesional, 5(4), 1633-1646. https://doi.org/10.37287/jppp.v5i4.1897
Fitriani, D. (2018). Hubungan Pengettahuan Perawat tentang Pencegahan Ventilator Associated Pneumonia (VAP) dengan Peningkatan Angka VAP di Ruang ICU Rumah Sakit Sari Asih Karawaci Tangerang. Edudharma Journal, 2(1), 46-62. Retrieved from https://openjournal.wdh.ac.id/index.php/edudharma/article/view/30
Ferreira, C. R., de Souza, D. F., Cunha, T. M., Tavares, M., Reis, S. S. A., Pedroso, R. S., & Röder, D. V. D. de B. (2016). The effectiveness of a bundle in the prevention of ventilator-associated pneumonia. Brazilian Journal of Infectious Diseases, 20(3), 267-271. https://doi.org/10.1016/j.bjid.2016.03.004
Hassan, S. (2021). Assessment of Knowledge and Practice of ICU Nurses regarding Prevention of Ventilator-associated Pneumonia (VAP) at a Tertiary Care Hospital, Jammu and Kashmir. Indian Journal of Holistic Nursing, 12(3), 1-8. https://doi.org/10.24321/2348.2133.202109
Ismail, R., & Zahran, E. (2015). The effect of nurses training on ventilator-associated pneumonia (VAP) prevention bundle on VAP incidence rate at a critical care unit. Journal of Nursing Education and Practice, 5(12), 42–48. https://doi.org/10.5430/jnep.v5n12p42
Ismaeil, T., Alfunaysan, L., Alotaibi, N., Alkadi, S. (2019). Repositioning of Endotracheal Tube and Risk of Ventilator-Associated Pneumonia Among Adult Patients: A Matched Case-Control Study. Annals of Thoracic Medicine, 14(4), 264-270. https://doi.org/10.4103/atm.ATM_26_19
Khan, R., Al-Dorzi, H.M., Al-Attas, K., Ahmed, F. W. (2016) The Impact of Implementing Multifaceted Interventions on the Prevention of Ventilator-Associated Pneumonia. American Journal of Infection Control, 44(3), 320-326. https://doi.org/10.1016/j.ajic.2015.09.025
Khalifa, E. M., & Eldin, A. S. S. (2020). The impact of an Educational Training Program on Nurses in Reduction of Ventilator Associated Pneumonia. Egyptian Journal of Occupational Medicine, 44(3), 709–726. https://doi.org/10.21608/ejom.2020.118350
Lawn, S., Zhi, X., & Morello, A. (2017). An integrative review of e-learning in the delivery of self-management support training for health professionals. BMC Medical Education, 17(1). https://doi.org/10.1186/s12909-017-1022-0
Li, S., Shang, L., Yuan, L., Li, W., Kang, H., Zhao, W., & Su, D. (2023). Construction and Validation of a Predictive Model for the Risk of Ventilator-Associated Pneumonia in Elderly ICU Patients. Canadian Respiratory Journal. https://doi.org/10.1155/2023/7665184
Maria, Y., & Syarif, S. (2022). Faktor-Faktor yang Berhubungan dengan Ventilator Associatei Pneumonia di Ruang Intensive Care Unit Rumah Sakit Umum Kabupaten Tangerang. Jurnal Epidemiologi Kesehatan Indonesia, 6(2). https://doi.org/10.7454/epidkes.v6i2.6367
Madhuvu, A., Endacott, R., Plummer, V., & Morphet, J. (2020). Nurses’ knowledge, experience and self-reported adherence to evidence-based guidelines for prevention of ventilator-associated events: A national online survey. Intensive and Critical Care Nursing, 59. https://doi.org/10.1016/j.iccn.2020.102827
Mastrogianni, M., Katsoulas, T., Galanis, P., Korompeli, A., & Myrianthefs, P. (2023). The Impact of Care Bundles on Ventilator-Associated Pneumonia (VAP) Prevention in Adult ICUs: A Systematic Review. Antibiotics, 12(2), 227. https://doi.org/10.3390/antibioitics12020227
Modi, A. R., & Kovacs, C. S. (2020). Hospital-acquired and ventilator-associated pneumonia: Diagnosis, management, and prevention. Cleveland Clinic Joiurnal of Medicine, 87(10), 633–639. https://doi.org/10.3949/CCJM.87A.19117
Núñez, S. A., Roveda, G., Zárate, M. S., Emmerich, M., & Verón, M. T. (2021). Ventilator-associated pneumonia in patients on prolonged mechanical ventilation: description, risk factors for mortality, and performance of the SOFA score. Jornal Brasileiro de Pneumologia, 47(3), 81–86. https://doi.org/10.36416/1806-3756/e20200569
Sadli, M. F., Tavianto, D., & Redjeki, I. S. (2017). Gambaran Pengetahuan Klinisi Ruang Rawat Intensif mengenai Ventilator Associated Pneumonia (VAP) Bundle di Ruang Rawat Intensif RSUP Dr. Hasan Sadikin Bandung. Jurnal Anestesi Perioperatif, 5(2), 85–93. https://doi.org/http://10.15851/jap.v5n2.1108
Saodah, S. (2019). Knowledge of Guideline VAP Bundle Improves Nurse Compliance Levels in Preventing Associated Pneumonia (VAP) Ventilation in the Intensive Care Unit. Media Keperawatan Indonesia, 2(3), 113. https://doi.org/10.26714/mki.2.3.2019.113-120
Saputra, R. A., Riza, S., & Desreza, N. (2022). Factors Influencing Ventolatory Associated Pneumonia in Postoperative Patients in the Intensive Ward of Meuraxa General Hospital Banda Aceh City. Journal of Healthcare Technology and Medicine, 8(2), Retrieved from https://jurnal.uui.ac.id/index.php/JHTM/article/view/2366
Sutoyo, D., Ria, R. T. T. M., & Paturohman, A. (2024). Hubungan Antara Usia dan Lama Penggunaan Ventilasi Mekanik dengan Kejadian Vap (Ventilator Associated Pneumoniae) Pada Pasien di Ruang ICU Rumah Sakit Khusus Paru Karawang. Jurnal Sehat Indonesia (JUSINDO), 7(1), 1–7. https://doi.org/10.59141/jsi.v7i01.187
Syarif, A., Winarto, E., Eka, P.U.J., Agusman, F., & Widiati, A. (2024). Efektifitas Oral Hygienei Terhadap Jumlah Koloni Mikroba Sebagai Risikoi Ventilator Associated Pneumonia (VAP). Jurnal Sehat Mandiri, 19(2), 49-61. https://doi.org/10.33761/jsm.v19i2.1516
Speck, K., Rawat, N., Weiner, N. C., Tujuba, H. G., Farley, D., & Berenholtz, S. (2016). A Systematic Approach for Developing a Ventilator-Associated Pneumonia Prevention Bundle. Am J Infect Control, 44(6), 652–656. https://doi.org/10.1016/j.ajic.2015.12.020.A
Tricco, A. C., Lillie, E., & Zarin, W. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Wosti, C., Wosti, D., Pandey, B., & Zhao, Q. (2017). Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. Journal of the Nepal Medical Association, 56(208), 461-468. https://doi.org/10.31729/jnma.3270
Wulandari, R., Safitri, A., Mintasih, S., Keperawatan, D., & Tinggi Ilmu Kesehatan Indonesia Maju, S. (2021). Tingkat Kecmasan dengan Lama Rawat Inap Covid 19. Journal of Nursing Education and Practice, 1(2), 22-31. https://doi.org/10.53801/jnep.v1i2.31
Wip, C., Napolitano, L. (2009). Bundles to Prevent Ventilator-associated Pneumonia: How Valuable Are They. Current Opinion in Infectious Diseases, 22(2), 159-166. https://doi.org/10.1097/QCO.0b013e3283295e7b
Yang, J., Wang, H., Liang, H., & Xi, J. (2014). Prospective Study of Risk Factors in Ventilator-Associated Pneumonia in Mechanically Ventilated Patients in ICU. Chinese Journal of Emergency Medicine, 23(11), 1239-1243. https://doi.org/10.3760/cma.j.issn.1671-0282.2014.11.013
Yuniandita, N., & Hudiyawati, D. (2020). Prosedur Pencegahan Terjadinya Ventilator-Associated Pneumonia (Vap) di Ruang Intensive Care Unit (ICU): A Literature Review. Jurnal Berita Ilmu Keperawatan, 13(1), 62–74. https://doi.org/10.23917/bik.v13i1.11604
Yuvaraj, Manivannan, D., Balasubramanian, K., Muthusamy, K. R., & Sivakumar, M. N. (2017). The Impact of Teaching on Nurses Knowledge to VAP Prevention Bundle. International Journal of Nursing Care, 5(1), 66. https://doi.org/10.5958/2320-8651.2017.00014.x
Zhang, X., Cui, X., Jiang, M., Huang, S., & Yang, M. (2023). Nebulized colistin as the adjunctive treatment for ventilator-associated pneumonia: A systematic review and meta-analysis. Journal of Critical Care, 77(1), https://doi.org/10.1016/j.jcrc.2023.154315
Zubair, S., Ali, H., Raza, S. F., Warind, J.A Beg, A. E., & Bushra, R. (2018). Assesment of Frequency and Transience Rate for Ventilator-Associated Pnemonia (VAP) in Geriatric Patients in Tertiary Care Settings of Karachi, Pakistan. Journal of the College of Physicians and Surgeons Pakistan: JCPSP, 28(7), 536-540. https://doi.org/10.29271/jcpsp.2018.07.536.
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