Five medical organizations release new guidance for preventing hospital-acquired pneumonia

NewsGuard 100/100 Score

In the second in series of updates on guidance for infection control in acute-care hospitals, five medical organizations are recommending best practices for preventing hospital-associated pneumonia. Pneumonia is the most common and deadly healthcare-associated infection.

Strategies to Prevent Ventilator-Associated Pneumonia, Ventilator-Associated Events, and Nonventilator Hospital-Acquired Pneumonia in Acute-Care Hospitals: 2022 Update is one in a series of guidelines, known collectively as the Compendium, scheduled for publication this year. The Compendium is a multiyear, highly collaborative guidance-writing effort by over 100 experts from around the world.

Preventing hospital-acquired pneumonia is complicated because the diagnosis is often subjective and non-specific. This complicates the interpretation of the prevention literature. The compendium helps distill the highest yield practices to prevent ventilator-associated events in ventilated patients and pneumonia in both ventilated and non-ventilated patients."

Dr. Michael Klompas, first author of the guidance

Essential practices that evidence shows to prevent ventilator-associated pneumonia include:

  • Avoiding intubation
  • Minimizing sedation
  • Maintaining and improving physical conditioning
  • Elevating the head of the bed
  • Providing oral care with toothbrushing
  • Providing early enteral rather than parenteral nutrition
  • Maintaining ventilator circuits

This document includes a section on how to prevent non-ventilator hospital-acquired pneumonia, emphasizing the role of oral care, managing dysphagia, and using multimodal approaches to prevent viral infections.

This document, published in Infection Control and Hospital Epidemiology, updates the 2014 Strategies to Prevent Ventilator-Associated Pneumonia in Acute-Care Hospitals. The Compendium, first published in 2008, is sponsored by the Society for Healthcare Epidemiology (SHEA). It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America, the Association for Professionals in Infection Control and Epidemiology, the American Hospital Association, and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.

Upcoming Compendium updates will include strategies to prevent catheter-associated urinary tract infections, Clostridium difficile infections, methicillin-resistant Staphylococcus aureus infections, and surgical site infections. Hand hygiene also has a dedicated article. Each Compendium article contains infection prevention strategies, performance measures, and example implementation approaches. Compendium recommendations are derived from a synthesis of systematic literature review and evaluation of the evidence, practical and implementation-based considerations, and expert consensus.

Journal reference:

Klompas, M., et al. (2022) Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update. Infection Control and Hospital Epidemiology.


The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Research shows the impact of social deprivation and distance on pulmonary fibrosis survival