Southern European Intensive Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia
Grado de conocimiento de las guías de prevención de la neumonía asociada a ventilación mecánica de las enfermeras de cuidados intensivos del sur de Europa
M. Llauradóa,b,c,
, S. Labeaud,e, D. Vandijcke, J. Relloa,b,c,f, A. Rosag, A. Rierac, E. Gallartc, R. Morenoh, K. Vandewouded,e,i,j, R. Piñerk, M.L. Benítezl, S. Blotde,i, the investigators of the EVIDENCE Study and PROCORNEU (Programa Corporativo Neumonía CIBERES) ◊
Corresponding author
a CIBER Enfermedades Respiratorias (CIBERES), Barcelona, Spain
b Institut de Recerca Vall d’Hebron, Barcelona, Spain
c Servicio de Medicina Intensiva, Hospital Universitari Vall d’Hebron, Barcelona, Spain
d Faculty of Healthcare Vesalius, University College Ghent, Ghent, Belgium
e Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
f Universidad Autónoma de Barcelona, Barcelona, Spain
g Intensive Care Department., Hospital Garcia de Orta, Almada, Portugal
h Intensive Care Unit, St. Antóniodos Capuchos Hospital, Centro Hospitalar de Lisboa Central, E.P.E., Portugal
i General Internal Medicine and Infectious Diseases, University Hospital Ghent, Ghent, Belgium
j General Direction, Ghent University Hospital, Ghent, Belgium
k Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain
l Coordinación de trasplantes, Unidad Cuidados Intensivos, Hospital Universitario Puerta del Mar de Cádiz, Cádiz, Spain
Ver másRead
1089
Timeswas read the article
688
Total PDF
401
Total HTML
Share statistics
array:23 [ "pii" => "S2173572711700030" "issn" => "21735727" "doi" => "10.1016/S2173-5727(11)70003-0" "estado" => "S300" "fechaPublicacion" => "2011-01-01" "aid" => "70003" "copyright" => "Elsevier y Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias" "copyrightAnyo" => "2011" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Intensiva. 2011;35:6-12" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1608 "formatos" => array:3 [ "EPUB" => 141 "HTML" => 571 "PDF" => 896 ] ] "itemSiguiente" => array:18 [ "pii" => "S2173572711700042" "issn" => "21735727" "doi" => "10.1016/S2173-5727(11)70004-2" "estado" => "S300" "fechaPublicacion" => "2011-01-01" "aid" => "70004" "copyright" => "Elsevier y Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Intensiva. 2011;35:13-21" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1903 "formatos" => array:3 [ "EPUB" => 155 "HTML" => 866 "PDF" => 882 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Diaphragmatic pacemaker as an alternative to mechanical ventilation in patients with cervical spinal injury" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "13" "paginaFinal" => "21" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Marcapasos diafragmático como alternativa a la ventilación mecánica en el paciente con lesión medular cervical" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Romero-Ganuza, C. Gambarrutta-Malfatti, E. Diez de la Lastra-Buigues, M.Á. Marín-Ruiz, V.E. Merlo-González, A.M. Sánchez-Aranzueque Pantoja, F.J. García-Moreno, J. Mazaira-Álvarez" "autores" => array:8 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Romero-Ganuza" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Gambarrutta-Malfatti" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Diez de la Lastra-Buigues" ] 3 => array:2 [ "nombre" => "M.Á." "apellidos" => "Marín-Ruiz" ] 4 => array:2 [ "nombre" => "V.E." "apellidos" => "Merlo-González" ] 5 => array:2 [ "nombre" => "A.M." "apellidos" => "Sánchez-Aranzueque Pantoja" ] 6 => array:2 [ "nombre" => "F.J." "apellidos" => "García-Moreno" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Mazaira-Álvarez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572711700042?idApp=WMIE" "url" => "/21735727/0000003500000001/v1_201212101044/S2173572711700042/v1_201212101044/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173572711700029" "issn" => "21735727" "doi" => "10.1016/S2173-5727(11)70002-9" "estado" => "S300" "fechaPublicacion" => "2011-01-01" "aid" => "70002" "copyright" => "Elsevier y Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Intensiva. 2011;35:3-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1510 "formatos" => array:3 [ "EPUB" => 115 "HTML" => 515 "PDF" => 880 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "Adverse effects, intercommunication, management of knowledge and care strategies in intensive nursing" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "3" "paginaFinal" => "5" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Efectos adversos, intercomunicación, gestión del conocimiento y estrategias de cuidados en enfermería intensiva" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Moreno-Millán, J. Villegas-Del Ojo, F. Prieto-Valderrey, J. Nieto-Galeano" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Moreno-Millán" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Villegas-Del Ojo" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Prieto-Valderrey" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Nieto-Galeano" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572711700029?idApp=WMIE" "url" => "/21735727/0000003500000001/v1_201212101044/S2173572711700029/v1_201212101044/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Southern European Intensive Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "6" "paginaFinal" => "12" ] ] "autores" => array:1 [ 0 => array:5 [ "autoresLista" => "M. Llauradó, S. Labeau, D. Vandijck, J. Rello, A. Rosa, A. Riera, E. Gallart, R. Moreno, K. Vandewoude, R. Piñer, M.L. Benítez, S. Blotd" "autores" => array:13 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Llauradó" "email" => array:1 [ 0 => "mireiallaurado@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Labeau" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 2 => array:3 [ "nombre" => "D." "apellidos" => "Vandijck" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Rello" "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Rosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Riera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "E." "apellidos" => "Gallart" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 7 => array:3 [ "nombre" => "R." "apellidos" => "Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">h</span>" "identificador" => "aff0040" ] ] ] 8 => array:3 [ "nombre" => "K." "apellidos" => "Vandewoude" "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">i</span>" "identificador" => "aff0045" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">j</span>" "identificador" => "aff0050" ] ] ] 9 => array:3 [ "nombre" => "R." "apellidos" => "Piñer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">k</span>" "identificador" => "aff0055" ] ] ] 10 => array:3 [ "nombre" => "M.L." "apellidos" => "Benítez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">l</span>" "identificador" => "aff0060" ] ] ] 11 => array:3 [ "nombre" => "S." "apellidos" => "Blotd" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">i</span>" "identificador" => "aff0045" ] ] ] 12 => array:2 [ "colaborador" => "the investigators of the EVIDENCE Study and PROCORNEU (Programa Corporativo Neumonía CIBERES)" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">◊</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:12 [ 0 => array:3 [ "entidad" => "CIBER Enfermedades Respiratorias (CIBERES), Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Institut de Recerca Vall d’Hebron, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitari Vall d’Hebron, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Faculty of Healthcare Vesalius, University College Ghent, Ghent, Belgium" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Universidad Autónoma de Barcelona, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Intensive Care Department., Hospital Garcia de Orta, Almada, Portugal" "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Intensive Care Unit, St. Antóniodos Capuchos Hospital, Centro Hospitalar de Lisboa Central, E.P.E., Portugal" "etiqueta" => "<span class="elsevierStyleSup">h</span>" "identificador" => "aff0040" ] 8 => array:3 [ "entidad" => "General Internal Medicine and Infectious Diseases, University Hospital Ghent, Ghent, Belgium" "etiqueta" => "<span class="elsevierStyleSup">i</span>" "identificador" => "aff0045" ] 9 => array:3 [ "entidad" => "General Direction, Ghent University Hospital, Ghent, Belgium" "etiqueta" => "<span class="elsevierStyleSup">j</span>" "identificador" => "aff0050" ] 10 => array:3 [ "entidad" => "Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">k</span>" "identificador" => "aff0055" ] 11 => array:3 [ "entidad" => "Coordinación de trasplantes, Unidad Cuidados Intensivos, Hospital Universitario Puerta del Mar de Cádiz, Cádiz, Spain" "etiqueta" => "<span class="elsevierStyleSup">l</span>" "identificador" => "aff0060" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "fn0005" "etiqueta" => "◊" "notaPie" => "<p class="elsevierStyleNotepara">The investigators of the EVIDENCE Study and the collaborators of the Programa Corporativo Neumonía CIBERES PROCORNEU are listed in Annex 1 at the end of the article.</p>" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Grado de conocimiento de las guías de prevención de la neumonía asociada a ventilación mecánica de las enfermeras de cuidados intensivos del sur de Europa" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-06-01" "fechaAceptado" => "2010-07-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec10666" "palabras" => array:5 [ 0 => "Evidence-based guidelines" 1 => "Intensive care" 2 => "Prevention" 3 => "Questionnaire" 4 => "Ventilator-associated pneumonia" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec10667" "palabras" => array:5 [ 0 => "Guías basadas en la evidencia" 1 => "Cuidados intensivos" 2 => "Prevención" 3 => "Cuestionario" 4 => "Neumonía asociada a ventilación mecánica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To assess Southern European Intensive care unit nurses’ knowledge about evidencebased guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective.</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A sub-analysis from an observational study performed using a 9-questions, multiplechoice questionnaire performed during the period October 2006 - March 2007.</p> <span class="elsevierStyleSectionTitle">Setting</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Six Southern European countries, selected from 22 participant European countries.</p> <span class="elsevierStyleSectionTitle">Participants</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Volunteer nurses from intensive care units</span>.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">3329 questionnaires were obtained, 1182 of them belonging to Southern European countries with a 75.8% response rate. Global average score was 45,1%, being it significantly better in the South of Europe (46,6%, P<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.001). A linear multiple regression analysis showed that years of working experience (per class of increase) (B=0.154±(SD) 0.045) (95% CI (0.066–0–242)) (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.001) and working in a smaller intensive care unit (B=−0,210±(SD) 0.059) ((95% CI) −0.326. −0.094) (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001) was independently associated with better test scores.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Southern European critical care nurses’ knowledge about ventilator-associated pneumonia prevention is poor, but significantly better than in the pan-European countries.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Determinar el grado de conocimiento de las enfermeras de cuidados intensivos del sur de Europa de las guías de prevención de la neumonía asociada a ventilación mecánica y compararlo con los resultados globales de Europa.</p> <span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Subanálisis de un estudio observacional realizado mediante un cuestionario de nueve preguntas con respuesta cerrada llevado a cabo entre octubre de 2006 y marzo de 2007.</p> <span class="elsevierStyleSectionTitle">Ámbito</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Seis países del sur de Europa, de los 22 países europeos participantes.</p> <span class="elsevierStyleSectionTitle">Participantes</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Enfermeras voluntarias de cuidados intensivos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Se recibieron 3.329 cuestionarios, de los cuales 1.182 fueron del sur de Europa donde hubo una tasa de respuesta del 75,8%. La puntuación media global fue de 45,1% y la del sur de Europa 46,6% donde fue significativamente mejor (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). El análisis de regresión lineal mostró que los años de experiencia (por aumento de categoría) están independientemente relacionados con mejores puntuaciones (B<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,154 ± (ES) 0,045) (95% IC (0,066-0,242)) (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,001) y trabajar en una unidad de cuidados intensivos con menor número de camas está independientemente relacionado con mejores puntuaciones (B<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>−0,210 ± (ES) 0,059) ((95% IC) −0,326–−0,094) (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">El conocimiento de las enfermeras de las unidades de cuidados intensivos de los países del sur de Europa sobre las guías de prevención de la neumonía asociada a ventilación mecánica es bajo aunque mejor que en la muestra global de Europa.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.M. Dodek" 1 => "S. Keenan" 2 => "D.J. Cook" 3 => "D. Heyland" 4 => "M. Jacka" 5 => "L. Hand" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "2004" "volumen" => "141" "paginaInicial" => "305" "paginaFinal" => "313" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15313747" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "State of the art. Ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Chastre" 1 => "J.-Y. Fagon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.165.7.2105078" "Revista" => array:6 [ "tituloSerie" => "Am J Resp Crit Care Med" "fecha" => "2002" "volumen" => "165" "paginaInicial" => "867" "paginaFinal" => "903" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11934711" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ventilator-associated pneumonia in a tertiary care ICU: analysis of risk factors for acquisition and mortality" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D. Myny" 1 => "P. Depuydt" 2 => "F. Colardyn" 3 => "S. Blot" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1179/acb.2005.022" "Revista" => array:6 [ "tituloSerie" => "Acta Clin Belg" "fecha" => "2005" "volumen" => "60" "paginaInicial" => "114" "paginaFinal" => "121" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16156370" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systematic surveillance cultures as a tool to predict involvement of multidrug antibiotic resistant bacteria in ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.O. Depuydt" 1 => "D.M. Benoit" 2 => "D.P. Vogelaers" 3 => "J.M. Decruyenaere" 4 => "D.M. Vandijck" 5 => "G. Claeys" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-007-0953-z" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2008" "volumen" => "34" "paginaInicial" => "675" "paginaFinal" => "682" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18066522" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critical care nurses’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia: An evaluation questionnaire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Labeau" 1 => "D.M. Vandijck" 2 => "B. Claes" 3 => "P. Van Aken" 4 => "S.I. Blot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Crit Care" "fecha" => "2007" "volumen" => "16" "paginaInicial" => "371" "paginaFinal" => "377" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17595369" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Centers for Disease Control and Prevention" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "MMWR" "fecha" => "2004" "paginaInicial" => "53" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Labeau" 1 => "A. Vereecke" 2 => "D. Vandijck" 3 => "B. Claes" 4 => "S. Blot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Crit Care" "fecha" => "2008" "volumen" => "17" "paginaInicial" => "65" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18158392" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidencebased guidelines for the prevention of ventilator-associated pneumonia Results of a knowledge test among intensive care nurses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.I. Blot" 1 => "S. Labeau" 2 => "D.M. Vandijck" 3 => "P. Van Aken" 4 => "B. Claes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-007-0705-0" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2007" "volumen" => "33" "paginaInicial" => "1463" "paginaFinal" => "1467" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17541752" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence-based guidelines for the prevention of ventilator-associated pneumonia Results of a knowledge test among European intensive care nurses" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Labeau" 1 => "D. Vandijck" 2 => "J. Rello" 3 => "S. Adam" 4 => "A. Rosa" 5 => "C. Wenisch" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jhin.2008.06.027" "Revista" => array:6 [ "tituloSerie" => "J Hosp Infect" "fecha" => "2008" "volumen" => "70" "paginaInicial" => "180" "paginaFinal" => "185" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18723247" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence on measures for the prevention of ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Lorente" 1 => "S. Blot" 2 => "J. Rello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur Resp J" "fecha" => "2007" "volumen" => "30" "paginaInicial" => "1193" "paginaFinal" => "1207" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital-acquired pneumonia guidelines in Europe: a review of their status and future development" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Masterton" 1 => "D. Craven" 2 => "J. Rello" 3 => "M. Struelens" 4 => "N. Frimodt-Moller" 5 => "J. Chastre" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/jac/dkm176" "Revista" => array:6 [ "tituloSerie" => "J Antimicrob Chemother" "fecha" => "2007" "volumen" => "60" "paginaInicial" => "206" "paginaFinal" => "213" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17545144" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effectiveness of an educational program to reduce ventilator-associated pneumonia in a tertiary care center in Thailand: a 4-year study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Apisarnthanarak" 1 => "U. Pinitchai" 2 => "K. Thongphubeth" 3 => "C. Yuekyen" 4 => "D.K. Warren" 5 => "J.E. Zack" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/520987" "Revista" => array:6 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "2007" "volumen" => "45" "paginaInicial" => "704" "paginaFinal" => "711" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17712753" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of an infection control program on rates of ventilator-associated pneumonia in intensive care units in 2 Argentinean hospitals" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "V.D. Rosenthal" 1 => "S. Guzman" 2 => "C. Crnich" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ajic.2005.11.002" "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "2006" "volumen" => "34" "paginaInicial" => "58" "paginaFinal" => "63" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16490607" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Educational interventions for prevention of healthcare-associated infection: A systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Safdar" 1 => "C. Abad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/CCM.0B013E318165FAF3" "Revista" => array:6 [ "tituloSerie" => "Crit Care Med" "fecha" => "2008" "volumen" => "36" "paginaInicial" => "933" "paginaFinal" => "940" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18431283" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence-based practice: use of the ventilator bundle to prevent ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.F. Tolentino-Delosreyes" 1 => "S.D. Ruppert" 2 => "S.P.K. Shiao" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Crit Care" "fecha" => "2007" "volumen" => "16" "paginaInicial" => "20" "paginaFinal" => "27" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17192523" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000003500000001/v1_201212101044/S2173572711700030/v1_201212101044/en/main.assets" "Apartado" => array:4 [ "identificador" => "426" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original article" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000003500000001/v1_201212101044/S2173572711700030/v1_201212101044/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572711700030?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 9 | 17 |
| 2024 October | 34 | 67 | 101 |
| 2024 September | 27 | 34 | 61 |
| 2024 August | 38 | 46 | 84 |
| 2024 July | 26 | 42 | 68 |
| 2024 June | 24 | 28 | 52 |
| 2024 May | 23 | 37 | 60 |
| 2024 April | 21 | 40 | 61 |
| 2024 March | 27 | 42 | 69 |
| 2024 February | 20 | 52 | 72 |
| 2024 January | 20 | 66 | 86 |
| 2023 December | 15 | 40 | 55 |
| 2023 November | 13 | 30 | 43 |
| 2023 October | 12 | 35 | 47 |
| 2023 September | 26 | 35 | 61 |
| 2023 August | 19 | 21 | 40 |
| 2023 July | 24 | 36 | 60 |
| 2023 June | 17 | 18 | 35 |
| 2023 May | 7 | 10 | 17 |
Show all
