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评估一项降低重症监护病房创伤患者呼吸机相关性肺炎发生率的方案的实施情况。

Assessment of the implementation of a protocol to reduce ventilator-associated pneumonia in intensive care unit trauma patients.

作者信息

Ongstad Sarah B, Frederickson Tiffany A, Peno Sandy M, Jackson Julie A, Renner Catherine Hackett, Sahr Sheryl M

机构信息

Department of Surgery, Iowa Methodist Medical Center, Des Moines, IA 50309, USA. .

出版信息

J Trauma Nurs. 2013 Jul-Sep;20(3):133-8. doi: 10.1097/JTN.0b013e3182a171e3.

DOI:10.1097/JTN.0b013e3182a171e3
PMID:24005114
Abstract

Ventilator-associated pneumonia (VAP) is the primary hospital-acquired infection contracted by critically ill patients who receive mechanical ventilation. This retrospective study evaluated the efficacy of a multifaceted VAP prevention protocol in an adult trauma population. Ventilator-associated pneumonia was defined according to the National Healthcare Safety Network (2009) criteria. The number of days to onset of VAP in the postprotocol period was longer than the preprotocol period despite a concomitant increase in the number of mechanical ventilation days.

摘要

呼吸机相关性肺炎(VAP)是接受机械通气的重症患者主要发生的医院获得性感染。这项回顾性研究评估了多方面VAP预防方案在成年创伤患者群体中的疗效。呼吸机相关性肺炎根据国家医疗安全网络(2009年)标准进行定义。尽管机械通气天数同时增加,但方案实施后发生VAP的天数比方案实施前更长。

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Assessment of the implementation of a protocol to reduce ventilator-associated pneumonia in intensive care unit trauma patients.评估一项降低重症监护病房创伤患者呼吸机相关性肺炎发生率的方案的实施情况。
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Protein C depletion early after trauma increases the risk of ventilator-associated pneumonia.创伤后早期蛋白C缺乏会增加呼吸机相关性肺炎的风险。
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