| 新生儿重症监护病房呼吸机相关性肺炎感染的目标性监测与控制 |
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| 引用本文： | 英若兰.新生儿重症监护病房呼吸机相关性肺炎感染的目标性监测与控制[J].中国全科医学,2011,14(27). |
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| 作者姓名： | 英若兰 |
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| 作者单位： | 山东省临沂市妇幼保健院感染管理科,276000 |
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| 摘 要： | 目的 探讨新生儿重症监护病房呼吸机相关性肺炎(VAP)的发病率,有针对性地采取控制措施.方法 采用目标性监测方法,对本院2008 年1月-2010年12月新生儿重症监护病房VAP感染发病情况进行监测,并对VAP危险因素进行分析,提出具体的预防控制措施.结果 监测期间共发生VAP 22例次,呼吸机使用天数1 202 d,VAP日感染率为18.30‰.2008年、2009年和2010年VAP日感染率比较,差异有统计学意义(χ2=6.51,P＜0.05).不同胎龄、出生体质量、机械通气时间患儿VAP感染率比较,差异均有统计学意义(P＜0.05).22例VAP患儿的呼吸道分泌物中共培养出病原菌9株,共检测到6例耐药菌.结论 根据新生儿重症监护病房VAP感染发生的特点,开展目标性监测可以有效地降低VAP感染的发生.
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| 关 键 词： | 重症监护病房 新生儿 肺炎 呼吸机相关性 交叉感染 |
Target Monitoring and Control of Ventilator-Associated Pneumonia in Neonatal Intensive Care Unit |
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| YING Ruo-lan.Target Monitoring and Control of Ventilator-Associated Pneumonia in Neonatal Intensive Care Unit[J].Chinese General Practice,2011,14(27). |
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| Authors: | YING Ruo-lan |
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| Institution: | YING Ruo-lan.Infection Management Department,Linyi Maternity and Child Health Care Hospital,Linyi 276000,China |
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| Abstract: | Objective To investigate the incidence of ventilator-associated pneumonia(VAP) in neonatal intensive care unit(NICU) and to propose targeted prevention and control measures.Methods Target monitoring was applied to investigate the incidence of VAP in NICU from January 2008 to December 2010,with the risk factors analyzed in order to propose specific prevention and control measures.Results Twenty-two cases of VAP were noted during the monitor period.Total number of ventilation days were 1 202.Daily VAP infecti... |
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| Keywords: | Intensive care units neonatal Pneumonia ventilator associated Cross infection |
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