目标性监测与干预在降低呼吸机相关性肺炎中的作用

Targeted surveillance and intervention in reducing ventilatorassociated pneumonia

摘要:

目的探讨目标性监测与干预在降低外科重症监护室(SICU)呼吸机相关性肺炎(VAP)中的作用。方法医院感染管理专职人员与SICU医院感染监控人员负责对SICU使用呼吸机的患者进行监测，针对监测结果，修订控制措施并严格贯彻执行，强调过程监控。结果实施目标性监测1年多后，患者VAP的发生率从2008年（4—12月）的31.93‰下降至2009年（1—12月）的21.48‰ ，两者比较，差异有高度显著性（χ2=17.81，P=0.00）。结论通过目标性监测，针对性提出干预措施，可有效降低VAP的发生率。

Abstract:

ObjectiveTo evaluate targeted surveillance in reducing ventilatorassociated pneumonia (VAP) in patients in surgical intensive care unit(SICU).MethodsMonitor on SICU patients with respirators were conducted by infection control practitioners and SICU personnel responsible for SICU infection control . Based on the detected results, control measures were modified and strictly carried out , detection process was emphasized.ResultsSince the targeted surveillance has been carried out for more than one year, the incidence of VAP reduced from 31.93‰ on AprilDecember 2008 to 21.48‰ on JanuaryDecember 2009, there was significant difference between the two(χ2=17.81,P=0.00).ConclusionTargeted surveillance can reduce the occurrence of VAP.