Ventilator Associated Pneumonia (VAP)

Patient safety remains the most important priority for STEGH and this involves ensuring that patients are not at risk for contracting healthcare-associated infections.

We have a number of practices in place to help prevent and control infections, including a comprehensive hand hygiene program. All Ontario hospitals are required to post quarterly Ventilator Associated Pneumonia (VAP) rates to further promote accountability and transparency within the health system.

What is a Ventilator Associated Pneumonia (VAP)?

For our public reporting purposes, ventilator associated pneumonia (VAP) is defined as a pneumonia (lung infection) occurring in patients in an intensive care unit (ICU), requiring, external mechanical breathing support (a ventilator) intermittently or continuously, through a breathing tube for more than 48 hours.

VAP can develop in patients for many reasons. Because they are relying on an external machine to breath, their normal coughing, yawning, and deep breath reflexes are suppressed. Furthermore, they may have a depressed immune system, making them more vulnerable to infection. ICU teams have many ways to try to assist patients with these normal breathing reflexes, but despite this, patients are still at risk for developing pneumonia.

VAP Rates at STEGH as Reported to the Ministry

 

July to September 2018

Case 0
Rate 0.00

 

April to June 2018

Case <5
Rate 8.06

January to March 2018

Case <5
Rate 4.01

October to December 2017

Case <5
Rate 10.75

July to September 2017

Case <5
Rate 7.87

April to June 2017

Case <5
Rate 7.35

January to March 2017

Case <5
Rate 8.77

October to December 2016

Case 0
Rate 0.00

July to September 2016

Case <5
Rate 5.49

April to June 2016

Case 0
Rate 0

January to March 2016

Case <5
Rate 2.79

 

October to December 2015

Case 0
Rate 0

 

July to September 2015

Case 0
Rate 0

 

April - June 2015

Case 0
Rate 0
January to March 2015
Case 0
Rate 0
October - December 2014
Case 0
Rate 0
  July - September 2014
Case 0
Rate 0
  April – June 2014
Case 0
Rate 0
  Jan – March 2014
Case 0
Rate 0
  Oct – Dec 2013
Case 0
Rate 0
  July – Sept 2013
Case 0
Rate 0
  April – June 2013
Case 0
Rate 0
  Jan – March 2013
Case 0
Rate 0
  Oct – Dec 2012
Case <5
Rate 8.03
  July – Sept 2012
Case 0
Rate 0
  April – June 2012
Case 0
Rate 0
  Jan – March 2012
Case 0
Rate 0
  Oct – Dec 2011
Case 0
Rate 0
  July – Sept 2011
Case 0
Rate 0
  April – June 2011
Case 0
Rate 0
  Jan – March 2011
Case 0
Rate 0

 

All hospitals with ICUs are required to report into the Critical Care Information System (CCIS) – a centralized data collection system where hospitals report a variety of critical care information – must publicly report the VAP indicator data. These hospitals are considered "eligible" for VAP reporting.

These Ontario hospitals are posting their quarterly VAP rate and case count for those infections acquired in their facility, using the following formula:

total # of ICU cases of VAP after 48 hours of mechanical ventilation x 100
total # of ventilator days for ICU patients 18 years and older

Due to the low number of ICU patients on a ventilator (ventilator days) at STEGH, we recognize that even one new case of ventilator associated pneumonia will result in a high VAP rate.

What are health care-associated infections?

Sometimes when patients are admitted to the hospital, they can get infections. These are called health care-associated infections.

If you have any questions about the information below or about our hospital’s infection prevention and control program, please contact us.