摘要
目的探索如何从管理角度有效开展呼吸机相关性肺炎(VAP)预防工作。方法将VAP预防措施整合为4大类:支持性措施、强制性措施、推荐性措施及细节控制;在广泛培训及充分沟通的基础上,职能部门介入,确保预防措施落实。结果建立了多部门联动、分工协作的VAP预防管理模式,医院VAP千日感染率由2000年的17.01例/1000通气日下降至2011年的3.44例/1000通气日,VAP例数感染率由2000年的4.93%下降至2011年的1.13%(χ2=49.26,P<0.01)。结论职能部门对VAP预防措施进行分类集束化管理,有利于预防措施的真正落实及持续施行,可收到良好的预防效果。
OBJECTIVE To explore the effective ways to develop the prevention of ventilator-associated pneumonia（VAP） for the management perspective.METHODS The prevention measures for the VAP were integrated into as the followig the four categories：the supporting measures,the mandatory measures,the recommended measures,and details control.The functional departments involved on the basis of the wide training and the full communication ensured the implementation of the prevention measures.RESULTS The multisectoral linkage and division of collaboration management system for prevention of VAP has been established.The VAP infection rate was 17.01 VAP cases /1000 ventilator days in the year 2000 and decreased to 3.44 VAP cases/1000 ventilator days by the year 2011.The incidence rate of VAP decreased from 4.93% in 2000 to 1.13% in 2011（χ2=49.26,P0.01）.CONCLUSION The classified cluster management of the prevention measures for VAP,executed by the functional departments,is conductive in the actual implementation and continuous operation of the prevention measures,which can achieve good prevention effect.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第21期4730-4732,共3页
Chinese Journal of Nosocomiology
关键词
呼吸机相关性肺炎
预防
集束化
管理
细节控制
Ventilator-associated pneumonia
Prevention
Cluster
Management
Detail control
