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Hospital-Acquired Pneumonia (HAP) and the surgical patient

Sage Products is now part of Stryker.

~19%mortality

rate2

11 DAY increase

in length of stay3,4

$28,000increase

in total hospital costs3,4

The surgical patient is at risk for the top 2 HAIs: SSI & HAP1

Impacts of HAP

�READMISSIONS3.6% of surgical patients were readmitted due to pulmonary complications, the 4th most frequent reason for unplanned readmission.6

INCIDENCE A state collaborative participating in the ACS NSQIP program found that 2.7% of general and vascular surgery patients acquired post-operative pneumonia.5

Surgical patients are at risk

Sage Products LLC | 3909 Three Oaks Road | Cary, Illinois 60013 | www.sageproducts.com | 800.323.222024725 © Sage Products LLC 2017

Biofilms: a risk factor for pneumonia

3 Packages containing: 2 Cloths 2% Chlorhexidine

Gluconate* Patient Preoperative Skin Preparation

1 Package containing: 1 7ml Burst Pouch of Corinz

Antiseptic Cleansing and Moisturizing Oral Rinse

1 Ultra-Soft Toothbrush 1 Applicator Swab with

sodium bicarbonate

1 Package containing: 1 Single dose bottle of 3M™ Skin

and Nasal Antiseptic (Povidone-Iodine Solution 5% w/w (0.5% available iodine) USP) Patient Preoperative Skin Preparation

4 Sterile Swabs

20 systems/case Reorder #9010

3 Packages containing: 2 Cloths 2% Chlorhexidine

Gluconate* Patient Preoperative Skin Preparation

1 Package containing: 1 7ml Burst Pouch of Corinz

Antiseptic Cleansing and Moisturizing Oral Rinse

1 Ultra-Soft Toothbrush 1 Applicator Swab with

sodium bicarbonate

20 systems/case Reorder #9009

Skin antisepsis and oral cleansing with Corinz®Nose to Toes™ with Corinz®NEW!

One facility’s experience in combating NV-HAP:

Additional risk factors for surgical patientsn Inconsistent oral hygiene habits pre-surgeryn ET or LMA tube passing through a colonized oral cavityn Aspiration risk due to potentially diminished gag reflex9

REFERENCE: 1. Magill, S. et al. Multistate Point-Prevalence Survey of Health Care-Associated Infections. The New England Journal of Medicine. 2014;370:1198-208. 2. Davis, J, BSN, RN, CCRN, CIC. The Breadth of Hospital-Acquired Pneumonia: Nonventilated versus Ventilated Patients in Pennsylvania. PA Patient Safety Advisory. 2012;9(3):99-105. 3. Kalsekar, I, Amsden J, Kothari S, et al. Economic and utilization burden of hospital-acquired pneumonia (HAP): a systematic review and meta-analysis. Chest. 2010; 138(4_MeetingAbstracts):739A. 4. Thompson DA, Makary MA, Dorman T, Pronovost PJ. Clinical and economic outcomes of hospital acquired pneumonia in intra-abdominal surgery patients. Ann Surg. 2006;243(4):547-52. 5. Guillamondegui et al. Using the National Surgical Quality Improvement Program and the Tennessee Surgical Quality Collaborative to improve surgical Outcomes. J Am Coll Surg. 2012; 214:709-716. 6. Merkow et al. Underlying Reasons Associated with Hospital Readmission Following Surgery in the United States. JAMA. 2015;313(5):483-495. 7. Quinn B, Baker D. Comprehensive oral care helps prevent hospital-ac-quired nonventilator pneumonia. American Nurse Today. 2015;10(3):18-23. 8. Scannapieco FA, Role of Oral Bacteria in Respiratory Infection. J Periodontology. 1999;70(7):793-802. 9. Hohenberger, H. Nonventilator hospital-acquired pneumonia in the surgical population. AORN Journal. 2017;105(1), P13-P14. 10. Quinn B, Baker D, Cohen S, Stewart J, Lima C, Parise C. Basic nursing care to prevent nonventilator hospital-acquired pneumonia. J Nurs Scholarsh. 2014;46(1):11-19. 11. Baker D, Quinn B. Interprofessional Partnerships to Prevent Non-ventilator Hospital-acquired Pneumonia. Poster presented at 2016 AORN Global Surgical Conference and Expo, Anaheim, CA.

Universal oral care led to

37%reduction in NV-HAP

hospital-wide10

50% remaining NV-HAP cases

involved a surgical patient11

Addition of pre-op oral care to protocol

resulted in a

75%decrease in post-op

pneumonia11

NEW!

Product orderingAddress key risk factors of surgical site infection and post-operative pneumonia

*Equivalent to 500mg chlorhexidine gluconate per cloth3M is a trademark of 3M

20 billion microbes in our mouths replicate every 4–6 hours.7

Bacteria, including dental plaque, can colonize in the oropharyngeal area, and these pathogens can be aspirated into the lungs, causing infection.8

Biofilm development