<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732021000100405</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.1110</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Efeitos da utilização do bundle na prevenção de pneumonia associada à ventilação mecânica: revisão integrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Effects of the Use of Care Bundles in Preventing Ventilator-Associated Pneumonia: An Integrative Literature Review]]></article-title>
<article-title xml:lang="es"><![CDATA[Una revisión integrativa de los efectos del uso de medidas para la prevención de neumonía asociada a ventilación mecánica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maran]]></surname>
<given-names><![CDATA[Edilaine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Spigolon]]></surname>
<given-names><![CDATA[Dandara Novakowski]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matsuda]]></surname>
<given-names><![CDATA[Laura Misue]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teston]]></surname>
<given-names><![CDATA[Elen Ferraz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[João Lucas Campos de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Verusca Soares de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marcon]]></surname>
<given-names><![CDATA[Sonia Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Estadual do Paraná  ]]></institution>
<addr-line><![CDATA[Paranavaí PR]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Estadual do Paraná  ]]></institution>
<addr-line><![CDATA[Paranavaí PR]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Estadual de Maringá  ]]></institution>
<addr-line><![CDATA[Maringá PR]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal de Mato Grosso do Sul  ]]></institution>
<addr-line><![CDATA[Campo Grande MS]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Federal do Rio Grande do Sul  ]]></institution>
<addr-line><![CDATA[Porto Alegre RS]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade Federal de Mato Grosso do Sul  ]]></institution>
<addr-line><![CDATA[Coxim MS]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidade Estadual de Maringá  ]]></institution>
<addr-line><![CDATA[Maringá PR]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732021000100405&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732021000100405&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732021000100405&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução  A Pneumonia Associada à Ventilação Mecânica é uma infecção relacionada à assistência à saúde que predomina em unidades de terapia intensiva e que compromete a segurança do paciente.  Objetivo  Identificar na literatura científica os efeitos do uso de Bundles na prevenção da Pneumonia Associada à Ventilação Mecânica em Unidade de Terapia Intensiva.  Método  Revisão integrativa realizada com estudos disponibilizados nas bases dados online: Cumulative Index to Nursing and Allied Health Literature, Cocrhane , Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online e Scopus. A busca dos estudos nas bases de dados se deu no período de dois de junho a 18 de julho de 2018, no idioma inglês ou português, sem limite de tempo de publicação, utilizando os termos dos DeCS e MeSH. O recrutamento foi realizado por dois pesquisadores independentes. Dos artigos selecionados, extraíram-se as informações: ano, país de origem, objetivo(s), grau de recomendação científica e tipo de estudo, intervenção, conformidade do uso do Bundle , principais resultados e conclusões.  Resultados  Dentre as 20 publicações analisadas, 13 eram de diferentes países e a maioria dos estudos (n=18) constata que o uso de Blundes reduziu significativamente a taxa de Pneumonia Associada à Ventilação Mecânica, com impacto na redução da mortalidade, no tempo de internação e nos custos hospitalares. Os principais componentes de escolha para composição do pacote de cuidado foram à elevação da cabeceira e o protocolo de higiene oral.  Conclusão  Apesar de existir espaço para estudos com maior grau de recomendação, o rol de evidências de muitos países indica que o uso de Bundles tem efeito positivo na prevenção da pneumonia associada a ventilação mecânica e também na melhoria de desempenho institucional, pela redução de custos hospitalares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  The ventilator-associated pneumonia is an infection related to health care that predominates in intensive care units and compromises patient safety.  Objective  To identify the effects of care bundles in preventing ventilator-associated pneumonia in the Intensive Care Unit (ICU).  Materials and Methods  An integrative literature review was conducted based on the studies available in the online databases Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin American and Caribbean Health Sciences Literature, Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online and Scopus. Articles were selected from these databases between June 2 and July 18, 2018 in English and Portuguese without any publication time limit using DeCS and MeSh descriptors. Two independent researchers carried out the article selection process, from which information related to publication year, country of origin, objective(s), degree of scientific recommendation and type of study, intervention, compliance with the use of care bundles, main results and conclusions was collected.  Results  A total of 13 out of 20 publications analyzed were from different countries and in most studies (n=18) the use of care bundles was found to significantly reduce the incidence of ventilator-associated pneumonia, resulting in a reduction in mortality, length of hospital stay and costs. The main components chosen to put together care bundles included head of bed elevation and oral care.  Conclusion  Although studies with a higher degree of recommendation are possible, data from several countries suggest that the use of care bundles had a positive effect on ventilator-associated pneumonia, as well as on improving institutional performance by reducing health care costs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La neumonía asociada a la ventilación mecánica es una infección relacionada con el cuidado de la salud que predomina en las unidades de cuidados intensivos y que compromete la seguridad del paciente.  Objetivo  Identificar en la literatura científica los efectos del uso de medidas para la prevención de la neumonía asociada a ventilación mecánica en Unidades de Cuidados Intensivos.  Materiales y métodos  Se llevó a cabo una revisión integrativa con los estudios disponibles en las bases de datos en línea Cumulative Index to Nursing and Allied Health Literature, Biblioteca Cochrane, Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online y Scopus. La búsqueda de artículos se realizó en estas bases de datos entre el 2 de junio y el 18 de julio de 2018 en inglés y portugués sin límite de tiempo de publicación a través de los descriptores DeCS y MeSH. Dos investigadores independientes llevaron a cabo el proceso de selección de artículos, de los que se extrajo la información relacionada con el año, país de origen, objetivo(s), grado de recomendación científica y tipo de estudio, intervención, conformidad del uso de medidas de prevención, principales resultados y conclusiones.  Resultados  De las 20 publicaciones analizadas, 13 eran de diferentes países y en la mayoría de los estudios (n=18) se encontró que el uso de las medidas preventivas redujo significativamente la incidencia de neumonía asociada a ventilación mecánica, con un impacto en la reducción de la mortalidad, la duración de la estancia y costos hospitalarios. Los principales componentes elegidos para armar el paquete de medidas de prevención fueron la elevación de la cabeza y el protocolo de higiene bucodental.  Conclusión  Aunque existe la posibilidad de realizar estudios con un mayor grado de recomendación, los datos obtenidos en varios países revelan que el uso de las medidas de prevención tiene un efecto positivo en la neumonía asociada a la ventilación, así como en la mejora del desempeño a nivel institucional, ya que reduce los costos hospitalarios.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Pacotes de Assistência ao Paciente]]></kwd>
<kwd lng="pt"><![CDATA[Pneumonia Associada à Ventilação Mecânica]]></kwd>
<kwd lng="pt"><![CDATA[Segurança do Paciente]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de Terapia Intensiva]]></kwd>
<kwd lng="en"><![CDATA[Patient Care Bundles]]></kwd>
<kwd lng="en"><![CDATA[Pneumonia, Ventilator-Associated]]></kwd>
<kwd lng="en"><![CDATA[Patient Safety]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Units]]></kwd>
<kwd lng="es"><![CDATA[Paquetes de Atención al Paciente]]></kwd>
<kwd lng="es"><![CDATA[Neumonía Asociada al Ventilador]]></kwd>
<kwd lng="es"><![CDATA[Seguridad del Paciente]]></kwd>
<kwd lng="es"><![CDATA[Unidades de Cuidados Intensivos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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