A previous study has demonstrated a simultaneous increasing bundle compliance trend and a decreasing trend of ventilator-associated pneumonia rate [ 25 ].
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Preventable proportion of intubation-associated pneumonia: Role of adherence to a care bundle.
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Furthermore, in the SPIN-UTI network an increasing trend of IAP rates was observed from 2006 to 2015 [ 6 – 10 ].
Our results have shown a negative trend of IAP risk with increasing number of bundle components and suggest that a large proportion of IAP, i.e. 40%, can be prevented by improving adherence to good practices.