NCT03348579

Hospital-acquired Pneumonia in Intensive Care Unit

Hospital Acquired and Ventilator Associated Pneumonia : Impact of the New French Guidelines on Patients Care and Outcomes.

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1,850 (actual)
• Sponsor: Nantes University Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

hospital-acquired pneumonia are a common disease in intensive care unit. The prevention, the diagnosis and the treatment of hospital acquired pneumonia are a frequent challenge. Nevertheless it seems that there are great differences in standard of care between hospitals. The investigators hypothesized that medical education and implementation of evidence-base guidelines can reduce the duration of mechanical ventilation in patients presenting of hospital acquired pneumonia

Detailed description

The before period (phase 1) will consist of all consecutive patients admitted to the participating ICUs before the national guidelines publication concerning healthcare associated pneumonia. The second period (phase 2) will consist of all consecutive patients admitted to the participating ICUs after the publication of the national guidelines publication concerning healthcare associated pneumonia. Afterward, an interphase will occur during which all physicians, residents, physiotherapists and nurses will receive a formal training for the processes and procedures related to the new guidelines published in september 2017. In the intervention group, on top of the standard training, the centers receive an analysis of the evolution of the practices of their center and the future of their patients between phases 1 and 2, as well as these same values for the data set. The centers are then called to conduct a meeting to determine their priority improvement points based on this audit. The third and final period (phase 3) will consist of all consecutive patients admitted to the participating ICUs after the formal training.

Conditions

• Hospital Acquired Pneumonia
• Ventilator-Associated Pneumonia
• Sepsis
• Pneumonia

Interventions

Type	Name	Description
OTHER	Guidelines publication and application	Passing recommendations on using the guidelines in the intensive care units
OTHER	Targeted experience feedback	Targeted experience feedback": On top of the standard training, the centers receive an analysis of the evolution of the practices of their center and the future of their patients between phases 1 and 2, as well as these same values for the data set. The centers are then called to conduct a meeting to determine their priority improvement points based on this audi

Timeline

• Start date: 2017-09-15
• Primary completion: 2018-10-15
• Completion: 2018-12-15
• First posted: 2017-11-21
• Last updated: 2020-05-12

Locations

1 site across 1 country: France