本文關(guān)鍵詞： 兒童 呼吸機(jī)相關(guān)性肺炎 目標(biāo)性監(jiān)測 危險(xiǎn)因素　出處：《中華醫(yī)院感染學(xué)雜志》2017年18期 　論文類型：期刊論文

【摘要】：目的調(diào)查兒科重癥監(jiān)護(hù)病房(PICU)呼吸機(jī)置管患兒發(fā)生呼吸機(jī)相關(guān)性肺炎(VAP)的病例,回顧性分析VAP發(fā)生的危險(xiǎn)因素與特點(diǎn),為預(yù)防和降低PICU呼吸機(jī)置管患兒VAP的發(fā)生率提供科學(xué)依據(jù)。方法分析2013年1月-2016年12月PICU前瞻性監(jiān)測的呼吸機(jī)置管病例,對(duì)發(fā)生VAP的臨床危險(xiǎn)因素進(jìn)行統(tǒng)計(jì)分析。結(jié)果 1545例呼吸機(jī)置管患兒發(fā)生VAP 69人,VAP發(fā)病率為10.02‰;1-3月呼吸機(jī)相關(guān)性肺炎發(fā)病率最低,7-9月呼吸機(jī)相關(guān)性肺炎發(fā)病率最高;置管時(shí)間越長,呼吸機(jī)相關(guān)性肺炎發(fā)病率越高,經(jīng)外院轉(zhuǎn)入的患兒VAP感染率高于其他途徑入住PICU的患兒。結(jié)論置管時(shí)長與置管次數(shù)是PICU呼吸機(jī)置管患兒發(fā)生VAP的相關(guān)危險(xiǎn)因素,嚴(yán)重的中樞疾病是VAP的易患因素。有效的口腔清潔及使用安全清潔的呼吸機(jī)管路可以降低VAP的發(fā)生率。醫(yī)務(wù)人員應(yīng)持續(xù)監(jiān)測,嚴(yán)格執(zhí)行清潔、消毒及無菌操作,掌握呼吸機(jī)置管指征,及時(shí)撤機(jī),最大限度降低PICU呼吸機(jī)相關(guān)性肺炎的發(fā)生率。
[Abstract]:Objective to investigate the incidence of ventilator-associated pneumonia (VAP) in children with ventilator placed in pediatric intensive care unit (PICU), and to analyze retrospectively the risk factors and characteristics of VAP. To provide a scientific basis for preventing and reducing the incidence of VAP in children with PICU ventilator catheterization. Methods from January 2013 to December 2016, the incidence of VAP in children who were prospectively monitored by PICU was analyzed. Results the incidence rate of VAP in 69 patients with VAP was 10.02 鈥，

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