呼吸机清洗消毒方法对呼吸机相关性肺炎的影响

发布时间：2018-07-05 20:11

  本文选题：呼吸机管路 + 清洗消毒　； 参考：《中华医院感染学杂志》2014年13期

【摘要】：目的探讨安全有效的呼吸机清洗消毒方法,降低呼吸机相关性肺炎(VAP)的发病率。方法在2009年11月-2010年2月VAP目标性监测基础上,对胸心外科ICU呼吸机清洗消毒方法进行干预:制定并落实"呼吸机清洗消毒暂行办法",观察干预后2年内各季度VAP千日感染率的变化,并比较两年间对应季度VAP发病率的差异以及干预前、中、后VAP发病率的差异。结果在呼吸机使用率相对稳定的前提下,干预中VAP千日感染率51.72‰,与次年相同季度9.57‰比较差异有统计学意义(P0.05);干预后VAP发病率稳定在一个较低水平,干预前、中、后VAP发病率比较差异均有统计学意义(P0.01)。结论呼吸机外置管路清洗后环氧乙烷灭菌及其配件的清洗消毒灭菌,并按规定时间更换等措施显著降低了呼吸机相关肺炎发病率。
[Abstract]:Objective to explore a safe and effective method of ventilator cleaning and disinfection to reduce the incidence of ventilator-associated pneumonia (VAP). Methods based on the objective monitoring of VAP from November 2009 to February 2010, The methods of cleaning and disinfecting ventilator in thoracic and cardiac surgery ICU were intervened. The "temporary method of ventilator cleaning and disinfection" was formulated and implemented, and the changes of VAP infection rate in every quarter of two years after intervention were observed. The differences of incidence of VAP in corresponding quarter and before, during and after intervention were compared. Results under the premise of relatively stable ventilator utilization rate, the infection rate of VAP per thousand days in intervention was 51.72 鈥，

本文编号：2101593