[呼吸机相关性肺炎的管理]

[Management of ventilator acquired pneumonia].

作者信息

Boyadjiev I, Leone M, Garnier F, Albanèse J, Martin C

机构信息

Département d'anesthésie et de réanimation, CHU Nord, boulevard Pierre-Dramard, 13915 Marseille cedex 20, France.

出版信息

Ann Fr Anesth Reanim. 2006 Jul;25(7):761-72. doi: 10.1016/j.annfar.2006.03.001. Epub 2006 May 11.

DOI:10.1016/j.annfar.2006.03.001

PMID:16697138

Abstract

Ventilator-associated pneumonia occurs in the evolution of 8 to 70% of patients in the Intensive Care Unit. It is the main site of nosocomial infection for mechanically ventilated patients. Nosocomial pneumonia represents an important cause of morbidity and mortality, despite progresses in antibiotic prescription, use of intensive care and prevention. This review is based on the ATS guidelines, and reviews epidemiology, diagnosis and treatment of ventilator-acquired pneumonia, in non-immunocompromised adults.

摘要

在重症监护病房中，8%至70%的患者会在病程中发生呼吸机相关性肺炎。它是机械通气患者医院感染的主要部位。尽管在抗生素处方、重症监护的使用和预防方面取得了进展，但医院获得性肺炎仍是发病和死亡的重要原因。本综述基于美国胸科学会（ATS）指南，对非免疫功能低下的成年人呼吸机相关性肺炎的流行病学、诊断和治疗进行综述。