الفهرس 
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Abstract
Ventilator-associated pneumonia (V AP) is one of the most frequent ICU-acquired
infections and a very challenging infection as it contiriues to complicate the course
of 8% to 28% of patients receiving mechanical ventilation. Upper respiratory care
protocol was assumed to prevent aspiration. and subsequent V AP.Aim of the
Study: This study was conducted to evaluate the effect of upper respiratory care
protocol on the incidence of ventilator-associated pneumonia for critically ill
patients. Design: ~ quasi- experimental design was used in this study. Setting:the
study was conducted at the Intensive care unit in EI-Fayoum University
HospitaJ.Study Subjects: A Purposive sample of 60 patients who randomly
divided into 2 equal group; group I, consisted of 30 patients received upper
respiratory care protocol care protocol (study group) group 11, includes 30 patients
received hospital routine care (control group) .. Data CollectionTools: tool of the
study consist of three tools, tool(1) Patient Assessment sheet (2) glascocoma
scale(GCS) (3) Modified clinical Pulmonary infection score Results: It was found
that incidence of V AP among study group patients (20%) while control group
patients (83.3%) with a statistically significance difference (X2 =24.093,
P=O.OOO). Also. There were no statistically significant relations between V AP
development for both groups and their demographic data. Conclusion this study
concluded that upper respiratory care protocol was effective in reduce aspiration
and ventilator associated pneumonia among critically ill patients.
Recommendations: Replication of the study using a large probability samples
from different geographic areas. Continued research regarding safety and efficacy
of upper respiratory care protocol and its effect on hemodynamic parameters.
Key words: Critically III Patient -Incidence- Upper Respiratory Care Protocol
-ventilator associated pneumonia.