| Ventilator-associated pneumonia and
central-line-associated bloodstream
infections are common complications
for patients in intensive care units
receiving mechanical ventilation
and contribute to increased length
of stay and mortality.1 Many studies
have shown the effectiveness of
care bundles to reduce rates of these
complications.2 In their Article, Lennie
Derde and colleagues3 report that
improved hand hygiene plus unitwide
chlorhexidine body-washing
reduced acquisition of antimicrobialresistant
bacteria, particularly
meticillin-resistant Staphylococcus
aureus. Surprisingly, they mention that
interventions likely to aff ect out comes
(ie, central-line-associated bloodstream
infection bundles or ventilatorassociated
pneumonia bundles,
selective digestive decon tamination, |