• Carol A Sulis, Allan J Walkey, Yafet Abadi, Christine Campbell Reardon, and Martin Joyce-Brady.
• Section of Infectious Disease, Boston University School of Medicine, Boston, MA; Department of Medicine, Radius Specialty Hospital, Boston, MA.
• Am J Infect Control. 2014 May 1;42(5):536-8.

AbstractLong-term trends in ventilator-associated pneumonia (VAP) rates, and other health care-associated infections, were examined prior to, during, and after introduction of a VAP bundle in a long-term acute care hospital setting. VAP incidence rate declined in a step-wise fashion and reached a null value. Incidence rates of bacteremia from any cause declined in a similar fashion. The incidence rates of vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus colonization or infection rates also decreased, but that of Clostridium difficile infection did not. VAP in the long-term acute care hospital setting can be controlled over time with implementation of Centers for Disease Control and Prevention-based VAP bundle. This outcome also may decrease certain other health care-associated infections.Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

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