Economic analysis of a pediatric ventilator-associated pneumonia prevention initiative in Nicaragua

This economic analysis of an improvement intervention to decrease ventilator-associated pneumonia (VAP) prevalence in pediatric intensive care units (ICUs) in two hospitals in Nicaragua to was done to determine the cost-effectiveness of a simple intervention involving utilization of additional sterile hospital supplies and providing training to PICU / NICU staff on practices to decrease the risk of pneumonia among ventilated patients.  The study asks: 1) how much the improvement intervention costs to implement?; 2) how effective must it be to be cost-neutral?; and 3) what are the most important variables in the model? Assuming the results are indicative of cost-effectiveness, the ultimate purpose of the study is to present the final results to decision-makers in the Ministry of Health (MINSA) to encourage support for the intervention.

This study was published in the International Journal of Pediatrics.

Report Author(s): 
E Broughton, SR López, MN Aguilar, MM Somarriba, M Pérez, N Sánchez
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