重症监护病房呼吸机相关肺炎集束化干预效果
作者:
作者单位:

作者简介:

茅一萍

通讯作者:

中图分类号:

R181.3+2

基金项目:

江苏省卫生计生委预防医学科研课题(Y2015067)


Effect of bundle intervention on ventilatorassociated pneumonia in an intensive care unit
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的探讨集束化干预措施预防呼吸机相关肺炎(VAP)的效果。方法监测2012年1月—2013年12月入住某综合医院重症监护病房(ICU)的患者,2012年1—12月的患者为对照组,2013年1—12月的患者为干预组(采取集束化干预措施),比较两组患者呼吸机使用率及VAP发病率。结果共监测患者4 560例,干预组2 608例,对照组1 952例。呼吸机使用率干预组为53.95%,对照组为61.17%,干预组呼吸机使用率低于对照组,差异有统计学意义(χ2=65.756,P<0.01)。干预组VAP发病率为13.00‰,对照组为19.56‰,干预组VAP发病率低于对照组,差异有统计学意义(χ2=4.649,P=0.031)。VAP类型比较,干预组迟发型VAP所占比例高于对照组(41.82‰ VS 24.59‰)。结论集束化干预措施有助于减低ICU患者VAP发病率。

    Abstract:

    ObjectiveTo evaluate the effect of bundle intervention measures on preventing ventilatorassociated pneumonia (VAP).MethodsPatients who were admitted to an intensive care unit(ICU) of a hospital from January 2012 to December 2013 were monitored, patients from January to December 2012  were as control group,  while from January to December 2013 were as intervention group (bundle intervention measures were implemented). Usage rate of ventilators and incidence of  VAP  between two groups were compared.ResultsA total of 4 560 patients were monitored, 2 608  in  intervention group and 1 952 in control group. Usage rate of ventilators in intervention group was lower than control group (53.95% vs 61.17%; χ2=65.756,P<0.01). Incidence of VAP per 1 000 ventilator days in intervention group was lower than control group (13.00‰ vs 19.56‰; χ2=4.649,P=0.031). Percentage of lateonset VAP per 1 000 ventilator days in tervention group was higher than control group(41.82‰ vs 24.59‰).ConclusionBundle intervention measures are helpful for reducing the incidence of  VAP in ICU patients.

    参考文献
    相似文献
引用本文

郑伟,茅一萍,周宏,等.重症监护病房呼吸机相关肺炎集束化干预效果[J]. 中国感染控制杂志,2016,15(1):31-33. DOI:10.3969/j. issn.1671-9638.2016.01.007.
ZHENG Wei, MAO Yiping, ZHOU Hong, et al. Effect of bundle intervention on ventilatorassociated pneumonia in an intensive care unit[J]. Chin J Infect Control, 2016,15(1):31-33. DOI:10.3969/j. issn.1671-9638.2016.01.007.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2015-05-12
  • 最后修改日期:2015-05-12
  • 录用日期:
  • 在线发布日期: 2016-01-31
  • 出版日期: