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find Keyword "呼吸机相关性事件" 2 results
  • 重症监护病房呼吸机相关性事件监测结果与分析

    目的了解重症监护病房(ICU)呼吸机相关性事件(VAE)的发生状况,为制定干预措施提供参考依据。 方法采用前瞻性监测方法,对2013年4月1日-7月31日所有入住ICU且使用机械通气时间>2 d、年龄≥18岁的患者进行VAE监测,并与2012年同期呼吸机和相关性肺炎(VAP)监测情况进行比较。 结果监测到有效病例31例,共发生VAE 6例,发生率为19.35%;患者平均住院时间12 d,平均机械通气时间10 d;预后:存活25例,死亡6例,病死率为19.35%;抗菌药物使用率100%。2013年的VAE监测与2012年同期院内VAP目标性监测VAP千日感染率分别为2.83、29.57例/1 000导管日,差异有统计学意义(P<0.05)。 结论VAE监测及其诊断标准客观量化、简单易行,但是否适用于我国ICU患者VAP的诊断,值得商榷。

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  • Interpretation of SHEA strategies to prevent ventilator-associated pneumonia and ventilator-associated events in acute-care hospitals: 2022 update

    Ventilator-associated pneumonia (VAP) is a kind of pneumonia that occurs when artificial airway (tracheal intubation or tracheotomy) is established and mechanical ventilation is accepted. The occurrence of VAP will significantly prolong the ventilation time and hospitalization time of patients, increase the mortality rate and the medical burden. In order to effectively prevent and reduce the occurrence of VAP, the Society for Healthcare Epidemiology of America released the Strategies to Prevent Ventilator-Associated Pneumonia, Ventilator-Associated Events, and Nonventilator Hospital-Acquired Pneumonia in Acute-Care Hospitals: 2022 Update, which is an update of the 2014 version. In order to facilitate the reading and understanding of the medical workers, this article will interpret the infection prevention and control strategies of adult VAP and ventilator-related events.

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