Bauer Torsten T, Lorenz Joachim, Bodmann Klaus-Friedrich, Vogel Friedrich
Medizinische Klinik III, Berufsgenossenschaftliche Kliniken Bergmannsheil, Klinikum der Ruhr-Universität, Bochum.
Med Klin (Munich). 2005 Jun 15;100(6):355-60. doi: 10.1007/s00063-005-1045-x.
Nosocomial pneumonia is a frequent nosocomial infection and the most common one in the intensive care unit. Nosocomial pneumonia is associated with a significant morbidity and mortality and therefore the outcome of patients with this complication becomes worse. Nosocomial infections are within the responsibility of predominantly the treating hospital after introduction of the DRGs also into the German health care system, and the occurrence of a nosocomial infection can also substantially stress the hospital budget.
Prevention, diagnosis and a severity-guided therapeutic approach are therefore inevitable parts of infectious concepts within the hospital. This abbreviated version of the German recommendations for prevention, diagnosis, and therapy of nosocomial pneumonia therefore aims at a larger readership and provides clinical pathways and worksheets to further improve health care and documentation of nosocomial pneumonia.
医院获得性肺炎是一种常见的医院感染,也是重症监护病房中最常见的感染。医院获得性肺炎与显著的发病率和死亡率相关,因此出现这种并发症的患者预后会变差。在德国医疗保健系统引入疾病诊断相关分组(DRGs)后,医院获得性感染主要由治疗医院负责,医院获得性感染的发生也会给医院预算带来巨大压力。
因此,预防、诊断和基于严重程度的治疗方法是医院感染防控理念中不可或缺的部分。这份德国医院获得性肺炎预防、诊断和治疗建议的缩略版旨在面向更广泛的读者群体,提供临床路径和工作表,以进一步改善医院获得性肺炎的医疗保健和记录工作。