中国社区医师Issue(10):26-26,28,2.DOI:10.3969/j.issn.1007-614x.2014.10.15
呼吸机相关性肺炎的危险因素及病原学分析
Analysis of risk factors and etiology of ventilator associated pneumonia
和瑞莲 1张国际1
作者信息
- 1. 454000河南省焦作煤业 集团 有限责任公司中央医院呼吸科
- 折叠
摘要
Abstract
Objective:To Investigate the risk factors and etiology characteristics of ventilator associated pneumonia,and provide reference for future clinical work.Methods:53 patients with mechanical ventilation treatment time>48 hours were selected.We collected their clinical datas,and analyzed the risk factors,pathogenic bacteria and drug resistance of VAP.Results:In the 53 cases of patients,23 cases were VAP patients(43.4%).The morbidity of VAP in the patients with diabetes,tracheotomy increased(P<0.05);the mortality of VAP group was significantly higher than no VAP group(P<0.05);the main pathogenic bacteria of VAP was gram-negative bacteria(66.7%),among them,the acinetobacter baumannii was the main pathogenic bacteria(21.4%),most of patho-genic bacteria appear serious drug resistance.Conclusion:The various clinical factors are related to the incidence of VAP,the ma-jor risk factor is the mechanical ventilation time;the major VAP pathogens is gram negative bacteria,it has high resistance rate. The VAP has a serious impact on the prognosis of patients,we should strengthen the prevention,reduce the incidence and mortality.关键词
呼吸机相关性肺炎/危险因素/病原学Key words
Ventilator associated pneumonia/Risk factors/Etiology引用本文复制引用
和瑞莲,张国际..呼吸机相关性肺炎的危险因素及病原学分析[J].中国社区医师,2014,(10):26-26,28,2.