Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit_West China Medical Journal

Authors：

 OuyangXingxin ¹ ,  ZhouYanhua ² , YanJuan ² , WuJunling ²

1. Department of Clinical Medicine, Hunan University of Chinese Traditional Medicine, Changsha, Hunan 410006;
2. Department of Nosocomial Infection Control, Hunan Tumor Hospital/Tumor Hospital, Xiangya School of Medicine of Central South University, Changsha, Hunan 410013, P. R. China;

Corresponding?author：

ZhouYanhua, Email: 645254885@qq.com

Keywords：

Tumor patient; Intensive Care Unit; Ventilator-associated pneumonia

DOI：

10.7507/1002-0179.201600496

Video：

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Objective To investigate the causes of ventilator-associated pneumonia (VAP) in patients with tumor in Intensive Care Unit (ICU), and take effective intervention measures to reduce the incidence of VAP. Methods The targeted monitoring was conducted for the ICU patients who underwent the mechanical ventilation for over 48 hours from January 2013 to December 2014. Then the conventional nursing measures where adopted in 2013 without any field intervention measure implemented. While the prevention and control method was conducted in 2014 and the causes of VAP was valued and anyzed. Results After adopting intervention measures, the thousand-day rate of VAP decreased from 8.71‰ before the interventions to 2.30‰ after the interventions. The utilization rate of ventilators increased from 63% to 72% after the interventions were taken in 2014. The constituent ratio of the multidrug-resistant bacteria among the isolated pathogens in each year presented a downward trend. Conclusion VAP is common in ICU patients. It is necessary to reach preventive measures and designated position and ventilator management so as to prevent the occurrence of new nosocomial infection.

Citation： OuyangXingxin, ZhouYanhua, YanJuan, WuJunling. Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit. West China Medical Journal, 2016, 31(11): 1807-1810. doi: 10.7507/1002-0179.201600496 Copy

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1. 周玉仙, 涂麗娜. 重癥監護病房呼吸機相關性肺炎目標監測分析[J].華西醫學, 2014, 29(10):1933-1935.
2. 朱仕超, 宗志勇, 喬甫, 等. 新版定義的呼吸機相關性肺炎的目標性監測[J].華西醫學, 2016, 31(3):418-421.
3. 任南, 文細毛, 吳安華. 重癥監護病房(ICU)醫院感染監測[J].醫院感染監控信息, 2010, 24(3):11.
4. 于洪濤, 賈金廣, 王敏, 等. 呼吸重癥監護病房呼吸機相關性肺炎的危險因素分析[J].中國呼吸與危重監護雜志, 2011, 10(1):69-71.
5. 孫彩霞. ICU呼吸機相關性肺炎的原因分析及護理對策[J].中華醫院感染學雜志, 2013, 23(5):1007-1009.
6. 任惠英, 羅解萍, 錢小毛. 惡性腫瘤患者手術后醫院獲得真菌性肺炎的危險因素分析[J].中華醫院感染性雜志, 2013, 23(14):3382-3384.
7. 李六億, 吳安華, 胡必杰. 如何提升醫院感染預防與控制能力[M].北京:北京大學醫學出版社, 2015.
8. 中華人民共和國衛生部. WS/T 313-2009醫務人員手衛生規范[S].2009.
9. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting[J].Am J Control, 2008, 36(5):309-332.
10. 中華人民共和國衛生部. WS/T 312-2009醫院感染檢測規范[S].2009.
11. 任玲, 周宏, 鄭霞, 等. 醫院感染目標性監測與全國綜合性監測方法對比研究[J].中華醫院感染學雜志, 2006, 16(9):995-997.
12. 李衛光, 秦成勇, 王一兵, 等. 山東省12所綜合醫院ICU醫院感染目標監測分析[J].中華醫院感染學雜志, 2009, 19(4):384-386.
13. 侯如蓉, 酈守國, 林志安, 等. 放射性肺損傷的研究進展[J].實用癌癥雜志, 2011, 26(5):531.
14. Metheny NA, Clouse RE, Chang YH, et al. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients:frequency, outcomes, and risk factors[J].Crit Care Med, 2006, 34(4):1007-1015.
15. Safdar N, Crnich CJ, Maki DG. The pathogenesis of ventilator-associated pneumonia:its relevance to developing effective strategies for prevention[J].Respir Care, 2005, 50(6):725-739.
16. Rello J, So?ora R, Jubert P, et al. Pneumonia in intubated patients:role of respiratory airway care[J].Am J Respir Crit Care Med, 1996, 154(1):111-115.

West China Medical Journal

Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit

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