中国大陆46所医院呼吸机相关肺炎发病率多中心前瞻性监测  

A multicenter prospective monitoring on incidences of ventilator-associated pneumonia in 46hospitals in China

作　　者：高晓东[1] 胡必杰[1] 崔扬文[1] 孙伟[1] 沈燕[1] 

机构地区：[1]复旦大学附属中山医院,上海200032

出　　处：《中国感染控制杂志》2015年第8期540-543,共4页Chinese Journal of Infection Control

基　　金：中国医院协会医院感染预防与控制能力建设项目(CHA-2012-XSPX-0629-1);国家科技重大专项基金资助项目(2013ZX10004217005)

摘　　要：目的 了解我国医院重症监护病房（ICU）呼吸机相关肺炎（VAP）的发病情况。方法 选择全国12个省及直辖市共46所医院,监测2013年10月—2014年9月所有入住ICU患者VAP发病率,并将其与美国NHSN监测数据进行比较。结果 共监测ICU患者17 358例,住院总日数为176 096 d,其中插管总日数91 448 d,发生VAP813例,VAP发病率为8.89‰,以综合ICU为主,其病例数占总数的76.74%;不同类型ICU患者VAP发病率差别较大,为4.50‰-32.79‰。结论 我国46所医院ICU患者VAP发病率高于美国NHSN公布的数据,甚至高于其P90。Objective To explore the incidences of ventilator-associated pneumonia（VAP）in intensive care units（ICUs）in China.Methods From October 2013 to September 2014,46 hospitals in12 provinces and cities were selected to participate in the study,all patients admitted to ICUs were included,the incidences of VAP were surveyed and compared with data from the U.S.National Healthcare Safety Network（NHSN）.Results A total of 17 358 patients were surveyed,the total patient-days were 176 096 d,the total catheter-days were 91 448 d,813 patients developed VAP,the incidence of VAP was 8.89/1 000 catheter-days,VAP mainly occurred in general ICUs（76.74%）;the incidences of VAP were varied with patients in different types of ICUs,ranging from4.50/1 000catheter-days to 32.79/1 000 catheter-days.Conclusion The incidence of VAP in patients in ICUs at 46 hospitals in China is significantly higher than that reported by NHSN,even higher than the P90.

关 键 词：呼吸机相关肺炎 综合干预 口腔卫生 半卧位 每日评估 

分 类 号：R181.32[医药卫生—流行病学]