目标性监测与干预在降低呼吸机相关性肺炎中的作用

Targeted surveillance and intervention in reducing ventilator-associated pneumonia

目的探讨目标性监测与干预在降低外科重症监护室（SICU）呼吸机相关性肺炎（VAP）中的作用。方法医院感染管理专职人员与SICU医院感染监控人员负责对SICU使用呼吸机的患者进行监测，针对监测结果，修订控制措施并严格贯彻执行，强调过程监控。结果实施目标性监测1年多后，患者VAP的发生率从2008年（4—12月）的31．93‰下降至2009年（1～12月）的21．48‰，两者比较，差异有高度显著性（Х^2=17．81，P=0．00）。结论通过目标性监测，针对性提出干预措施，可有效降低VAP的发生率。

Objective To evaluate targeted surveillance in reducing ventilator-associated pneumonia （VAP） in patients in surgical intensive care unit（SICU）. Methods Monitor on SICU patients with respirators were conducted by infection control practitioners and SICU personnel responsible for SICU infection control. Based on the detected results, control.measures were modified and strictly carried out , detection process was emphasized. Results Since the targeted surveillance has been carried out for more than one year, the incidence of VAP reduced from 31.93‰ on April-December 2008 to 21.48‰ on January-December 2009, there was significant difference between the two（Х^2= 17. 81,P = 0. 00）. Conclusion Targeted surveillance can reduce the occurrence of VAP.