呼吸机相关性肺炎的危险因素分析及集束干预策略(综述)

Analysis and clustering of risk factors for ventilator associated pneumonia intervention strategy (summary)

呼吸机相关性肺炎(VAP)是重症医学科(ICU)最常见的院内感染性肺炎。本文通过对发生VAP危险因素的分析,采用集束干预策略:包括手卫生依从性、预防误吸、预防细菌定植、机械通气环节的管理、对护理人员的教育与培训等。在机械通气患者中,达到预防和控制VAP的发生,减少病死率。

Ventilator-associated pneumonia （VAP） is the most common and lethal form of hospital-ac- quired （nosocomial） pneumonia observed in patients who require mechanical ventilation in intensive care u- nits （ICU）. This article analyzed the risk factors for the development of VAP, and bundle intervention thera- py was adopted： including increased hand hygiene compliance, use of measures to prevent aspiration and bacterial colonization, management of mechanical ventilation, education and training for nursing staff. Ap- plication of bundle intervention therapy for VAP is associated with reduced morbidity and mortality among mechanically ventilated patients.