This large, prospective multi-centre study demonstrates that a national approach (incorporating a care bundle, education cascade, and clinical governance process) for Ventilator-associated pneumonia (VAP) prevention is feasible and can be successful. Furthermore, their results suggest that the longer such a bundle is implemented, the more successful it becomes. A national multi-modal approach to VAP prevention (including a care bundle, systematic education cascade, and clinical governance framework) reduced the incidence of VAP – with increasing success as time went on.

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