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呼吸机相关性肺炎的危险因素及病原学分析

和瑞莲 张国际

中国社区医师Issue(10):26-26,28,2.
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.

中国社区医师

1007-614X

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