Department of Anesthesiology, School of Medicine, American University of Beirut, Beirut, Lebanon.
Am J Crit Care. 2010 May;19(3):272-6. doi: 10.4037/ajcc2009131. Epub 2009 Aug 17.
Ventilator-associated pneumonia is the most common hospital-acquired infection among patients receiving mechanical ventilation in an intensive care unit. Different initiatives for the prevention of ventilator-associated pneumonia have been developed and recommended.
To evaluate knowledge of critical care providers (physicians, nurses, and respiratory therapists in the intensive care unit) about evidence-based guidelines for preventing ventilator-associated pneumonia.
Ten physicians, 41 nurses, and 18 respiratory therapists working in the intensive care unit of a major tertiary care university hospital center completed an anonymous questionnaire on 9 nonpharmacological guidelines for prevention of ventilator-associated pneumonia.
The mean (SD) total scores of physicians, nurses, and respiratory therapists were 80.2% (11.4%), 78.1% (10.6%), and 80.5% (6%), respectively, with no significant differences between them. Furthermore, within each category of health care professionals, the scores of professionals with less than 5 years of intensive care experience did not differ significantly from the scores of professionals with more than 5 years of intensive care experience.
A health care delivery model that includes physicians, nurses, and respiratory therapists in the intensive care unit can result in an adequate level of knowledge on evidence-based nonpharmacological guidelines for the prevention of ventilator-associated pneumonia.
在重症监护病房中接受机械通气的患者中，呼吸机相关性肺炎是最常见的医院获得性感染。已经制定并推荐了不同的预防呼吸机相关性肺炎的措施。
评估重症监护病房的医护人员（医生、护士和呼吸治疗师）对预防呼吸机相关性肺炎的循证指南的了解程度。
在一家大型三级教学医院中心的重症监护病房工作的 10 名医生、41 名护士和 18 名呼吸治疗师完成了一份关于预防呼吸机相关性肺炎的 9 项非药物性指南的匿名问卷。
医生、护士和呼吸治疗师的平均（SD）总分分别为 80.2%（11.4%）、78.1%（10.6%）和 80.5%（6%），差异无统计学意义。此外，在每个医护人员类别中，重症监护经验不足 5 年的专业人员的得分与重症监护经验超过 5 年的专业人员的得分无显著差异。
在重症监护病房中纳入医生、护士和呼吸治疗师的医疗服务模式可以使他们对预防呼吸机相关性肺炎的循证非药物性指南有足够的了解。
