Mosier Michael J, Pham Tam N
University of Washington Burn Center and Department of Surgery, Division of Burns/Trauma, Harborview Medical Center, Seattle, Washington 98104, USA.
J Burn Care Res. 2009 Nov-Dec;30(6):910-28. doi: 10.1097/BCR.0b013e3181bfb68f.
The purpose of this guideline is to review the available published literature on ventilator-associated pneumonia (VAP) as it pertains to the burn patient. It provides an evidence-based recommendation for the prevention, diagnosis, and treatment of VAP in adult burn patients. This guideline is designed to assist all healthcare providers caring for adult burn patients with suspected VAP. Summary recommendations were made using the following grading scale: grade A--supported by at least one well-designed prospective trial with clear-cut results; grade B--supported by several small prospective trials with a similar conclusion; and grade C--supported by a single small prospective trial, retrospective analyses, cases studies, and expert opinions based on investigators' practices.
本指南的目的是回顾已发表的关于呼吸机相关性肺炎（VAP）与烧伤患者相关的文献。它为成人烧伤患者VAP的预防、诊断和治疗提供基于证据的建议。本指南旨在帮助所有照顾疑似VAP成人烧伤患者的医疗服务提供者。总结建议采用以下分级标准：A级——至少有一项设计良好、结果明确的前瞻性试验支持；B级——由几项得出类似结论的小型前瞻性试验支持；C级——由一项小型前瞻性试验、回顾性分析、病例研究以及基于研究者实践的专家意见支持。
