Which of the following VAP preventive measures fall into the IA classification? I. Do not routinely change ventilator circuits unless soiled. II. Clean and sterilize certain equipment. III. Staff education and involvement in infection control. IV. Use sterile water for nebulization
A. I, IV only
B. I, III only
C. II, IV only
D. I, II, III, IV
ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: The Centers for Disease Control and Prevention published guidelines in 2004 providing an evidence-based recommendation for the prevention of VAP. The recommendations have five categories and are delineated on pages 277 and 278 in the textbook. The components of Category IA are strongly recommended for implementation and are strongly supported by experimental, clinical, or epidemiologic studies. The components of Category IA include:
• ? Do not routinely change ventilator circuits unless soiled.
• ? Clean and sterilize certain equipment.
• ? Staff education and involvement in infection control.
• ? Use sterile water for nebulization.
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