KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ...
KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ... KIMBERLY-CLARK* KIMVENT* BAL Cath Bronchial Aspirate ...
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,
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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 />
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