KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ...

KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ... KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ...

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Kimberly-Clark * KimVent * Bronchial Aspirate Sampling Catheter A microbiologically confirmed diagnosis of lower lung disease is essential to effective antibiotic management. 5 – Ventilator-associated pneumonia (VAP) affects up to 28% of ventilated patients 1 , with a mortality rate of up to 33% 2 – There's much debate concerning methods of diagnosis of VAP. Use of clinical criteria alone is considered problematic. 3 – Culturing endotracheal aspirates as a method of diagnosis has been shown to yield false positives of 18% and false negatives of 18% 4, – Without a microbiologically-based diagnosis, inappropriate or inadequate antibiotic therapy may be prescribed, which can result in the emergence of multiple-drug resistance and increased mortality 6 Providing the right data for accurate diagnoses and more effective, targeted treatment Kimberly-Clark* KimVent* BAL Cath* Bronchial Aspirate Sampling Catheter safely samples a patient's lower respiratory tract secretions, giving physicians the data they need to make an accurate lung infection diagnosis and prescribe targeted antibiotic treatment 5 . And targeted treatment is critical to reducing antibiotic costs.6 “An accurate microbiological diagnosis of VAP is likely to be the key element in ensuring appropriate antibiotic coverage [and] limiting the use and duration of empirically prescribed broad-spectrum antibiotics.” 7 –– Intensive Care Mediane, 2004. Yu, VL nd Singh, N,

Kimberly-Clark *<br />

KimVent *<br />

<strong>Bronchial</strong> <strong>Aspirate</strong> Sampling <strong>Cath</strong>eter<br />

A microbiologically confirmed diagnosis of lower lung<br />

disease is essential to effective antibiotic management. 5<br />

– Ventilator-associated pneumonia (VAP) affects up to 28% of ventilated<br />

patients 1 , with a mortality rate of up to 33% 2<br />

– There's much debate concerning methods of diagnosis of VAP. Use of<br />

clinical criteria alone is considered problematic. 3<br />

– Culturing endotracheal aspirates as a method of diagnosis has been<br />

shown to yield false positives of 18% and false negatives of 18% 4,<br />

– Without a microbiologically-based diagnosis, inappropriate<br />

or inadequate antibiotic therapy may be prescribed, which can result<br />

in the emergence of multiple-drug resistance and increased mortality 6<br />

Providing the right data for accurate diagnoses<br />

and more effective, targeted treatment<br />

Kimberly-Clark* KimVent* <strong>BAL</strong> <strong>Cath</strong>* <strong>Bronchial</strong> <strong>Aspirate</strong> Sampling<br />

<strong>Cath</strong>eter safely samples a patient's lower respiratory tract secretions,<br />

giving physicians the data they need to make an accurate lung infection<br />

diagnosis and prescribe targeted antibiotic treatment 5 . And targeted<br />

treatment is critical to reducing antibiotic costs.6<br />

“An accurate microbiological diagnosis of VAP is<br />

likely to be the key element in ensuring appropriate<br />

antibiotic coverage [and] limiting the use and duration<br />

of empirically prescribed broad-spectrum antibiotics.” 7<br />

–– Intensive Care Mediane, 2004. Yu, VL nd Singh, N,


KimVent * VAP S<br />

KimVent *<br />

<strong>BAL</strong> <strong>Cath</strong> * <strong>Bronchial</strong> <strong>Aspirate</strong> Sampling <strong>Cath</strong>eter<br />

Proven to reduce false microbial findings by 23.8% 4<br />

With a soft, cushioned directional tip, KimVent* <strong>BAL</strong> <strong>Cath</strong>* <strong>Cath</strong>eter enables safe and quick<br />

retrieval of lower respiratory tract samples, which have been shown to reduce false positives<br />

or false negatives by 23.8% compared to cultures of endotracheal aspirate samples. 4 These<br />

secretions from the distal airway can help identify infectious pathogens of the lung.<br />

KimVent* <strong>BAL</strong> <strong>Cath</strong>* catheters have a demonstrated history<br />

of safe use. More than 200,000 have been used in practice<br />

since 2001 with no reported adverse events. 9<br />

Directional tip allows<br />

right or left lung sampling<br />

3<br />

3<br />

Studies have shown<br />

nonbronchoscopic <strong>BAL</strong><br />

to be as effective a diagnostic<br />

tool as bronchoscopic <strong>BAL</strong> 3 or<br />

protected brush specimen (PSB)<br />

Can be performed bedside in minutes<br />

by trained respiratory therapist<br />

or other clinician<br />

Soft, cushioned, radiopaque<br />

directional tip<br />

is safer for patients when<br />

sampling is from the lower lung


Equips physicians with the power to target antibiotic treatment ––<br />

and reduce antibiotic use.<br />

Enables physicians to significantly reduce unnecessary antibiotics, discontinuing initial drug therapy in as many<br />

as 15-30% of suspected cases. The use of bronchoalveolar lavage as a tool to help diagnose lower lung disease<br />

has been shown to reduce significantly both antibiotic usage 3 and cost. 8<br />

Can help physicians target or de-escalate antibiotic therapy<br />

in an estimated 39%-48% of patients receiving initial<br />

broad-spectrum therapy. 6<br />

Convenient Kimvent* <strong>BAL</strong> <strong>Cath</strong>* Prep Pack<br />

includes all accessories needed to quickly perform<br />

nonbronchoscopic <strong>BAL</strong> at the bedside<br />

Also available:<br />

NEW Kimberly-Clark* Kimvent*<br />

Multi-Access Port Closed Suction System<br />

NEW<br />

Provides easy access for <strong>BAL</strong> while maintaining a<br />

closed circuit to reduce risk of cross-contamination.<br />

olutions –<br />

Helping You Protect Your Patients From VAP


As a global leader in VAP prevention,<br />

Kimberly-Clark* offers a comprehensive<br />

range of products, education, in-services<br />

training, and compliance programs to assist<br />

you as you develop your best-practice protocol<br />

that can help protect your patients from VAP.<br />

n Approximately 86% of hospital-associated<br />

pneumonia is linked with mechanical<br />

ventilation<br />

n Each incidence of VAP prolongs a patient's<br />

ICU stay by 4-6 days and generates<br />

an increased cost of $20,000 to $40,000<br />

FPO<br />

n VAP may account for up to 60%<br />

of all deaths due to HAIs<br />

Kimberly-Clark* Kimvent* Solutions:<br />

Closed Suction Systems<br />

Endotracheal Tubes<br />

Diagnostic <strong>Cath</strong>eters<br />

Oral Care Solutions<br />

FPO<br />

Kimberly-Clark *<br />

KimVent *<br />

VAP Solutions<br />

Kimberly-Clark* KimVent* <strong>BAL</strong> <strong>Cath</strong>*<br />

<strong>Bronchial</strong> <strong>Aspirate</strong> Sampling <strong>Cath</strong>eter<br />

Stock # Outer <strong>Cath</strong>eter Inner <strong>Cath</strong>eter Packaging<br />

FPO<br />

For more information, please call your sales<br />

representative, or visit our website at:<br />

www.kcheathcare.com/VAP<br />

142 16F 12Fr 5/Case<br />

The Kimberly-Clark Advantage*<br />

Clinical Education<br />

Ongoing Customer Support<br />

Expert Sales Force<br />

Tools & Best Practices<br />

Clinical Research<br />

Commitment to Excellence<br />

Infection prevention website:<br />

www.HAIwatch.com<br />

1 Chastre J, Fagon J. Ventilator Associated Pneumonia, Crit Care Med, 2002: 165:867-903.<br />

2 CDC, Guidelines for Preventing Healthcare-Associated Pneumonia, 2003. Recommendations of CDC and Healthcare Infection Control<br />

Practices Committee, MMWR, 2004; 53 (No. RR-3).<br />

3 Morris AC, Kallirroi K, Simpson AJ, Wilkinson TS, Everingham KE, Kerslake D, Laurenson, IF, Raby S, Swann DF, Walsh TS. Evaluation of<br />

diagnostic methodology on the reported incidence of ventilator-associated pneumonia. Thorax, Feb 12 2009.<br />

4 Fujitani, S, Cohen-Melamed MH, Tuttle RP, Delgado E, Yasuhiko T, Darby, JM. Comparison of semi-quantitative endotracheal aspirates<br />

to quantitative non-bronchoscopic bronchoalveolar lavage in diagnosing ventilator-associated pneumonia. Respiratory Care,<br />

November 2009 V. 54, No 11, 1453-1461.<br />

5 American Thoracic Society Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated,<br />

and Healthcare-associated Pneumonia. American Journal of Respiratory and Critical Care Medicine, V. 171, 388-416 (2005).<br />

6 Kollef MH, Ward S. The influence of mini-<strong>BAL</strong> cultures on patient outcomes: implications for the antibiotic management of ventilatorassociated<br />

pneumonia. Chest 1998: 113(2); 412-420.<br />

7 Yu VL, Singh N, Excessive antimicrobial usage causes measurable harm to patients with suspected ventilator-associated pneumonia.<br />

Intensive Care Med 2004:30(5): 735-738.<br />

8 Ost, DE, et al. Decision analysis of antibiotic and diagnostic strategies in VAP. Am J Respir Care Med, 2003; 168(9): 1060-7.<br />

9 Kimberly-Clark PIR data on file, product code 141. We have manufactured 200,000 units between 1994 and 2009 without any reported<br />

patient injury.<br />

*Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc.<br />

©2010 KCWW. All rights reserved. Hxxxxxxx

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