新生儿呼吸机相关性肺炎的目标性监测结果分析  

Analysis of targeted monitoring results of neonatal ventilator-associated pneumonia

作　　者：徐珍[1] 唐素琴[1] 余奇[1] 曹先伟[1] 饶思友[1] 周芸[1] 

机构地区：[1]南昌大学第一附属医院感染管理科,江西南昌330006

出　　处：《中华医院感染学杂志》2011年第20期4214-4216,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解新生儿呼吸机相关性肺炎(VAP)的发生率及病原菌分布特征,为探讨有效的预防控制措施提供参考依据。方法采用主动监测方法,对医院新生儿病房2009年2月-2011年4月机械通气>48h患儿进行目标性监测,采用非条件logistic回归方法对监测结果进行统计与分析。结果新生儿VAP的发生率为28.83%;出生胎龄越小,Apgar评分越低,机械通气时间越长,VAP的发生率越高;采用气管插管通气方式更易发生VAP;新生儿VAP的病原菌以革兰阴性杆菌为主。结论新生儿VAP发生的高危因素甚多,应加强主动监测,提高预防意识,采取有效干预措施,以降低VAP发生率。OBJECTIVE To understand the incidence of neonatal ventilator-associated pneumonia,the distribution characteristics of risk factors and Pathogens,and to provide a reference to effective prevention and control measures.METHODS Targeted monitoring of neonatal ward′s patients who were in hospital from Feb 2009 to Apr 2011 was taken by active surveillance methods,and were used mechanical ventilation more than 24 hours was performed,at last,we used non-conditional logistic regression as our statistical method to analyze the data.RESULTS The incidence of neonatal ventilator-associated pneumonia was 28.83%.The smaller the gestational age at birth,the lower the apgar score,longer duration of mechanical ventilation can lead to higher incidence of neonatal ventilator-associated pneumonia.Using of endotracheal intubation ventilation mode was easy to ventilator-associated pneumonia occurred.Neonatal ventilator-associated pneumonia′s main pathogens were Gram-negative bacteria.CONCLUSION There are many risk factors in neonatal ventilator-associated pneumonia.We can enhance active surveillance,raise awareness of prevention,take effective interventions to reduce the incidence of neonatal ventilator-associated pneumonia.

关 键 词：新生儿 呼吸机相关性肺炎 目标性监测 分析 

分 类 号：R181.32[医药卫生—流行病学]