摘要
目的调查重症监护病房(ICU)机械通气患者,探讨感染鲍氏不动杆菌引起的呼吸机相关性肺炎(VAP)的干预对策。方法对机械通气患者支气管内的分泌物进行细菌培养,针对鲍氏不动杆菌引起的VAP进行原因分析。结果鲍氏不动杆菌引起的VAP发生率为8.7%,主要与抗菌药物的不合理使用、机械通气时间过长、呼吸机及其辅助设备的污染、无菌操作不严、原发病的严重程度有关。结论对机械通气的患者,采用有效的护理对策及消毒隔离措施,可降低感染,提高治疗效果。
OBJECTIVE To explore the interventions for ventilator-associated pneumonia (VAP) caused by Acinetobacter baumannii by making investigation to the ICU patients on ventilators. METHODS Bacteria culture of bronchial discharge of patients on ventilators was conducted and followed by causation analysis of VAP caused by A. baumannii. RESULTS The prevalence of VAP caused by A. baumannii was 8.70%. The main reasons for VAP caused by A. baumannii were inappropriate use of antibiotics, long duration of mechanical assisted ventilation, contaminated ventilator and its accessories, unable to perform proper aseptic technique, and severity of the underlying illness. CONCLUSIONS For patients on ventilator, effective nursing interventions and sterilization and isolation techniques can reduce the infection and promote the treatment effects.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第10期1450-1451,共2页
Chinese Journal of Nosocomiology
关键词
鲍氏不动杆菌
呼吸机相关性肺炎
原因
对策
Acinetobacter baumannii
Ventilator-associated pneumonia
Cause
Intervention