ICU呼吸机相关性肺炎感染控制的干预对策

发布时间：2018-05-23 19:20

  本文选题：干预对策 + 呼吸机相关性肺炎　； 参考：《中华医院感染学杂志》2014年02期

【摘要】：目的通过采取有效的干预措施,降低ICU机械通气患者呼吸机相关性肺炎(VAP)发生率。方法从2011年开始对入住ICU使用呼吸机48h患者采取目标性监测,1-6月份采用常规护理措施,不进行实地干预,7-12月份通过对VAP高发原因分析后采用跟班督导的方式,按照制定的VAP预防控制措施进行干预。结果采用跟班督导等一系列有效的护理干预措施后,ICU机械通气患者在机械通气例数增加的情况下,VAP千日感染率从干预前的61.7‰下降至干预后的38.6‰,干预前后感染率比较,差异有统计学意义(P0.01)。结论 ICU机械通气患者通过加强对医务人员预防控制知识的教育培训、抬高病床头、声门下分泌物吸引、加强医务人员手卫生以及设备的管理,能有效降低VAP感染率,保证患者安全。
[Abstract]:Objective to reduce the incidence of ventilator-associated pneumonia (VAP) in ICU patients by effective intervention. Methods from 2011, the patients who were admitted to ICU for 48 hours were monitored with routine nursing measures from January to June. The routine nursing measures were adopted in July and December without field intervention. After the analysis of the causes of high incidence of VAP in July and December, the way of following shift supervision was adopted. To intervene in accordance with the established VAP preventive and control measures. Results the infection rate of VAP in ICU patients with mechanical ventilation increased from 61.7 鈥，

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