| ICU呼吸机相关性肺炎目标性监测分析 |
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| 引用本文： | 余国亮,陈彩花,徐春丽,林荣海,张超. ICU呼吸机相关性肺炎目标性监测分析[J]. 中华医院感染学杂志, 2011, 21(23): 4941-4943 |
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| 作者姓名： | 余国亮 陈彩花 徐春丽 林荣海 张超 |
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| 作者单位： | 浙江省台州医院ICU,浙江临海,317000 |
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| 摘 要： | 目的 通过医院感染的目标性监测,分析ICU呼吸机相关性肺炎的病原菌特点及发病危险因素.方法 对2010年1-12月入住ICU＞48 h患者进行医院感染目标性监测,对确诊呼吸机相关性肺炎患者的病原菌进行鉴定和药敏学分析,并单因素分析VAP发生的危险因素.结果 共监测患者191例,发生VAP 51例,检出病原菌84株,其中革兰阴性杆菌61株,占72.6％,革兰阳性球菌15株,占17.9％,真菌8株,占9.5％,主要病原菌分别为鲍氏不动杆菌、铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌,分别占26.2％、13.1％、9.5％、7.1％；APACHEⅡ评分高、呼吸机使用时间长、昏迷、使用皮质激素、患糖尿病、应用制酸剂及广谱抗菌药物≥3d为VAP发生的危险因素(P＜0.01).结论 ICU医院感染率高,通过目标性监测能够对病原菌与危险因素及时进行分析评价,进一步有针对性的采取措施降低呼吸机相关性肺炎的发生率
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| 关 键 词： | 重症监护病房 呼吸机相关性肺炎 目标性监测 病原菌 危险因素 |
Target surveillance of ventilator-associated pneumonia in intensive care unit |
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| YU Guo-liang , CHEN Cai-hua , XU Chun-li , LIN Rong-hai , ZHANG Chao. Target surveillance of ventilator-associated pneumonia in intensive care unit[J]. Chinese Journal of Nosocomiology, 2011, 21(23): 4941-4943 |
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| Authors: | YU Guo-liang CHEN Cai-hua XU Chun-li LIN Rong-hai ZHANG Chao |
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| Affiliation: | YU Guo-liang,CHEN Cai-hua,XU Chun-li,LIN Rong-hai,ZHANG Chao (Taizhou Hospital of Zhejiang Province,Linhai,Zhejiang 317000,China) |
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| Abstract: | OBJECTIVE To analyze the character of pathogen and the risk factor of ventilator-associated pneumonia(VAP). METHODS From Jan 2010 to Dec 2010,nosocomial infection objective surveillance were monitored and bacterial culture and antibiotics sensitive test among the patients who were in Intensive Care Unit more than 48 h and were diagnosed as ventilator-associated pneumonia(VAP). RESULTS The risk factors related to VAP were identified and evaluated with Chi-square test,191 cases were selected,51 patient-times ... |
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| Keywords: | Intensive care unit Ventilator-associated pneumonia Objective surveillance Pathogen Risk factor |
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