呼吸机相关肺炎目标监测结果分析

The analysis on ventilator- associated pneumonia objective monitoring results

目的:了解太原市第七人民医院呼吸机相关肺炎发生率及致病菌种类,为预防和控制呼吸机相关肺炎提供依据。方法:按照《医院感染监测规范》中的方法,调查2014年7月—2015年6月所有使用呼吸机的患者。结果:372例使用呼吸机住院患者中发生呼吸机相关肺炎66例,感染发病率为17.74%。主要致病菌为鲍曼不动杆菌,其次为大肠埃希菌、金黄色葡萄球菌。结论:呼吸机相关肺炎发病率高,致病菌以革兰阴性杆菌为主。

Objective： To investigate the incidence and pathogenic bacteria of ventilator associated pneumonia,provide a sound basis for prevention and control of ventilator- associated pneumonia. Methods： Using the method of objective monitoring,the patients using ventilator were retrospectively analyzed from July 2014 to June 2015. Results： Sixty- six patients occurred infection in 372 patients using ventilator,ventilator- associated pneumonia incidence of infection was 17. 74%,cases of infection pathogens in the first place was acinetobacter baumannii,the second was escherichia coli next was staphylococcus aureus.Conclusion： High incidence of ventilator- associated pneumonia,the major pathogenic bacteria was gram- negative bacilli.