摘要
目的探讨呼吸机相关性肺炎(VAP)的危险因素、病原菌分布及治疗与护理对策。方法对医院168例VAP患者临床资料、感染病原菌进行调查与统计分析。结果机械通气、原发基础疾病、抗菌药物的不合理使用是VAP患者发病的重要危险因素;VAP致病菌均为多药耐药细菌,其构成比居前3位的是:铜绿假单胞菌(29.2%)、肺炎克雷伯菌(22.6%)、鲍氏不动杆菌(17.9%)。结论对VAP应采取综合性防治措施,缩短机械通气时间,重视消毒隔离工作,加强机械通气患者的护理,以降低感染率,提高治愈率。
OBJECTIVE To explore the risk factors, pathogenic distribution, treatment and nursing strategies of ventilator-associated pneumonia （VAP）. METHODS The clinical data, pathogenic bacteria of 168 VAP patients were investigated and analyzed. RESULTS The important risk factors of VAP included mechanical ventilation, primary disease and inappropriate usage of antibiotics were investigated. The pathogenic bacteria of VAP were all multi-drug resistant strains of which the top three were Pseudomonas aeruginosa （29.20./o）, Klebsiella pneumoniae （22. 6%）, Acinetobacter baumannii （17. 9%）. CONCLUSIONS The comprehensive measures such as decurtation of the duration of ventilation, attaching an importance to sterilization and isolation, strengthening the caregiving of the patients are important to lower the infection rate and elevate the recovery rate.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第2期195-197,共3页
Chinese Journal of Nosocomiology
关键词
呼吸机相关性肺炎
病原菌
耐药菌
治疗
护理对策
Ventilator-associated pneumonia （VAP）
Pathogenic bacteria
Drug-resistance bacteria
Treatment
Nursing strategies
