Cuccio Lisa, Cerullo Ellen, Paradis Heidi, Padula Cynthia, Rivet Cindy, Steeves Susan, Lynch Judy
Patient Safety Reporting System, The Miriam Hospital, Rhode Island, USA.
Dimens Crit Care Nurs. 2012 Sep-Oct;31(5):301-8. doi: 10.1097/DCC.0b013e3182619b6f.
The purpose of this study was to examine the impact of 0.12% chlorhexidine rinses and an oral care protocol on ventilator-associated pneumonia rates. A quasi-experimental preintervention-postintervention design was used. The sample included all patients admitted to critical care and on mechanical ventilation at any time during the study period. Data were collected 6 months before and 12 months after intervention. Ventilator-associated pneumonia rates were reduced from 4.3 to 1.86 per 1000 ventilator-days during the study period, with an estimated cost avoidance of $700,000 to $798,000.
本研究的目的是检验0.12%洗必泰漱口水和口腔护理方案对呼吸机相关性肺炎发生率的影响。采用了干预前-干预后准实验设计。样本包括在研究期间任何时间入住重症监护病房并接受机械通气的所有患者。在干预前6个月和干预后12个月收集数据。在研究期间，呼吸机相关性肺炎的发生率从每1000个呼吸机日4.3例降至1.86例，估计节省成本70万至79.8万美元。
