Thanamee N, Sujaritjan N, Techasena W
Nursing Service, Nan Hospital, Thailand.
J Med Assoc Thai. 1995 Jul;78 Suppl 2:S102-4.
A study on ventilator-associated pneumonia was done in the I.C.U., Nan Hospital from April 1991 to March 1992. Of the 536 patients, 40 had pneumonia (7.5%). One half of the cases with pneumonia were on mechanical ventilation for 3-7 days. The incidence rate of pneumonia was 17.5, 6.5, 2.5 and 0 per cent in paediatric, medical, surgical and gynaecologic patients. Nine patients died of pneumonia. Low birth weight was the commonest predisposing factor of death along with prolonged ventilatory support and resistant bacteria. Breaching of aseptic and nursing care techniques was also observed.
1991年4月至1992年3月，在楠医院重症监护病房对呼吸机相关性肺炎进行了一项研究。536例患者中，40例发生肺炎（7.5%）。一半的肺炎病例接受机械通气3至7天。儿科、内科、外科和妇科患者的肺炎发病率分别为17.5%、6.5%、2.5%和0%。9例患者死于肺炎。低出生体重是最常见的死亡诱发因素，同时伴有通气支持时间延长和耐药菌感染。还观察到无菌操作和护理技术的违规情况。
