The prevention of the hospital-based infection involves meticulous planning since nurses will be required to alternate or reorganize their duties together with other technicians or experts working in the ICU. Re-planning of the shifts by the staff will increase the rate at which patients are examined, and subsequent meetings held to discuss the patient's progressive development health-wise ( Osti, Wosti, Pandey, & Zhao, 2017) . Furthermore, patients who are on antibiotic dose should be monitored and controlled effectively to ensure that pathogenic microbial that harbor in the gastric, oral, intestinal tract are minimized to curb the spread of the hospital-based infection. Additionally, the use of Iseganan, Chlorhexidine, and povidone-iodine has been known to thwart oral infection of VAP.
Core strategies of the prevention of the condition by nurses comprise the disruption of preprocessing by which the pathogens manifest themselves. There are three important processes by which the infectious microbes are known to develop, and they include; the use of the infected kit, colonization of the aerodigestive tract, and the aspirations of secretions ( Maurya, 2016) . Therefore to prevent the colonization of the pathogens, it is recommended that instead of intubation, patients should be ventilated using a face or nose mask. Furthermore, the ventilated patients should be monitored proactively especially by respiratory therapy staff and nurses.
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Cause for Current Perspective and Direction
Ventilator-Associated Pneumonia has been classified as the most infectious condition in the ICU. The hospital-based infection has a higher morbidity and mortality rates, thus increasing the costs of healthcare yet autonomous nursing practices can prevent it. Nursing practices like maintenance of hygienic environments such as washing hands with disinfectants like alcohol-rub or with water and soap before getting in touch with the ventilator or patient can help prevent contamination ( Kalil, 2015) . Additionally, the maintenance of the patient's oral hygiene can help control the colonization of the aerodigestive tract. Hence, the death associated with the condition is contributed to by the lack of teamwork among nursing professionals and unhygienic conditions that surround the patients.
References
Kalil, A. C., El-Rabbany, M., Zaghlol, N., Bhandari, M., & Azarpazhooh, A. (2015). Prophylactic oral health procedures to prevent hospital-acquired and ventilator-associated pneumonia: A systematic review. International journal of nursing studies , 52 (1), 452-464.
Maurya S., Mishra S. B., Azim A., Baronia A. K., & Gurjar M. (2016) Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. American journal of infection control , 44 (11), 1422-1423.
Osti, C., Wosti, D., Pandey, B., & Zhao, Q. (2017). Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. Journal of the Nepal Medical Association , 56 (208).
