综合ICU医院获得性肺炎相关因素分析及护理对策  

Analysis and nursing strategies of hospital acquired pneumonia in comprehensive ICU

作　　者：彭剑芳 李旭茹 江月娥 陈莹 肖彩莲 张贺琼 Peng Jianfang, Li Xuru, Jiang Yue＇e, et al. （Department of ICU, the first people＇s hospital of Zhaoqing, Zhaoqing 526021 China ）

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2008年第30期1447-1448,共2页Chinese Health Care

摘　　要：目的：探讨综合ICU医院获得性肺炎的感染情况。分析常见病原体及相关危险因素，为预防其感染提供依据。方法：回顾性调查分析2005年1月～2006年12月综合ICU病房内发生肺炎42例资料。结果：医院内肺炎感染率为15．27％。其中革兰阴性菌占47．7％，真菌感染达30．2％，革兰阳性菌占20．1％：主要诱因为：病者危重，住院时间长，合并多种慢性病，广谱抗生素，免疫抑制剂的应用及侵入性诊疗治疗。结论：综合ICU医院获得性肺炎发生是衡量医疗质量的重要指标。因此，合理应用抗生素，缩短住院天数，严格执行消毒隔离措施，减少不必要侵入诊疗操作，才能减少医院获得性肺炎的发生。Objective：Investigate hospital acquired pneumonia of ICU. To provide basis for preventing HAP of ICU by analyzing common patho- gen and related risk factors. Methods ：42 cases of HAP happened in ICU from Jan 2005 to Dec 2006 are retrospectively surveyed and analyzed. Resuits：The HAP infection rate is 15.27% of which 47.7% gram negative bacilli,30. 2% gram positive cocci and 20. 1% epiphyte. Critical illness, long period hospitalization,complied with chronic diseases,application of immunosuppressant and invasive procedure are the major causative factors. Conclusion：The HAP occurrence rate is one important indicator to evaluate the medical quality and decreases through reasonable application of antibiotics,shortening the period of hospitalization, strictly implementing of disinfection and isolation administration, reducing unnecessary invasive procedure.

关 键 词：重症监护病房 医院获得性肺炎 危险因素 护理干预 

分 类 号：R473.5[医药卫生—护理学;医药卫生—临床医学]