本文選題：重癥監(jiān)護(hù)病房 + 目標(biāo)性監(jiān)測(cè)　； 參考：《中華醫(yī)院感染學(xué)雜志》2015年01期

【摘要】：目的探討目標(biāo)監(jiān)測(cè)對(duì)降低醫(yī)院綜合ICU呼吸機(jī)相關(guān)性肺炎(VAP)的作用,為VAP的預(yù)防提供科學(xué)依據(jù)。方法對(duì)2010年1月-2012年12月收住綜合ICU使用機(jī)械性通氣48h后或撤機(jī)拔管48h內(nèi)的患者進(jìn)行目標(biāo)性監(jiān)測(cè),并采取一系列醫(yī)院感染控制干預(yù)措施,以患者平均病情嚴(yán)重程度調(diào)整法(ASIS)調(diào)整醫(yī)院感染發(fā)病率。結(jié)果 2 231例患者中發(fā)生醫(yī)院感染313例次,例次感染率14.03%,例次千日感染率為24.04‰,患者ASIS評(píng)分3.82分,根據(jù)ASIS法調(diào)整后患者例次千日感染率為5.11‰;呼吸機(jī)置管總天數(shù)為6 071d,發(fā)生VAP 113例次,2010年VAP的例次千日感染率為27.27‰,采取干預(yù)措施后2012年下降至13.70‰;2010-2013年患者ASIS評(píng)分值差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論通過(guò)對(duì)綜合ICU目標(biāo)性監(jiān)測(cè)和實(shí)施醫(yī)院感染控制干預(yù)措施,可以有效預(yù)防和控制VAP的發(fā)生。
[Abstract]:Objective to explore the effect of objective monitoring on reducing VAPs of ventilator-associated pneumonia in general ICU and to provide scientific basis for the prevention of VAP. Methods from January 2010 to December 2012, patients receiving mechanical ventilation for 48 hours or within 48 hours after extubation were monitored, and a series of intervention measures were taken to control nosocomial infection. The incidence of nosocomial infection was adjusted according to the average severity of illness. Results among the 2 231 patients, 313 nosocomial infections occurred, the infection rate was 14.03, the infection rate per thousand days was 24.04 鈥，

本文編號(hào)：2019036