SHEA急症医院的呼吸机相关性肺炎和呼吸机相关性事件的预防策略(2022版)解读  

Interpretation of SHEA strategies to prevent ventilator-associated pneumonia and ventilator-associated events in acute-care hospitals:2022 update

作　　者：孔懿[1] 高晓东 戴正香[3] 芮丽 王伟伟 狄佳[4] 陈静 谭善娟[6] 胡必杰 KONG Yi;GAO Xiaodong;DAI Zhengxiang;RUI Li;WANG Weiwei;DI Jia;CHEN Jing;TAN Shanjuan;HU Bijie(Hospital Infection Control Office,the Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,P.R.China;Hospital Infection Control Department,Zhongshan Hospital,Fudan University,Shanghai 200032,P.R.China;Infection Control Office,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing,Jiangsu 210000,P.R.China;Infection Management Office,the First People's Hospital of Changzhou,Changzhou,Jiangsu 213001,P.R.China;Infection Control Center,Sichuan Provincial People's Hospital,Chengdu,Sichuan 610072,P.R.China;Infection Management Department,East Hospital,Qingdao Municipal Hospital,Qingdao,Shandong 266071,P.R.China)

机构地区：[1]南京大学医学院附属鼓楼医院感染管理办公室,南京210008 [2]复旦大学附属中山医院感染管理科,上海200032 [3]江苏省中医院感染管理办公室,南京210000 [4]常州市第一人民医院感染管理办公室,江苏常州21301 [5]四川省人民医院医院感染控制中心,成都610072 [6]青岛市市立医院东院医院感染管理科,山东青岛266071

出　　处：《华西医学》2023年第3期336-345,共10页West China Medical Journal

基　　金：上海申康医院发展中心临床科技创新项目(SHDC22021315)。

摘　　要：呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)是建立人工气道(气管插管或气管切开)并接受机械通气时发生的肺炎。VAP的发生将明显延长患者的通气时间和住院时间,增加病死率和医疗负担。为了预防和有效减少VAP的发生,美国医疗保健流行病学学会在2022年发布了《急症医院的呼吸机相关性肺炎、呼吸机相关性事件以及非呼吸机相关性医院获得性肺炎的预防策略》,该指南是对2014年版本的更新。为了便于广大医务工作者阅读和理解,该文将解读该指南中成人VAP和呼吸机相关性事件的感染防控策略。Ventilator-associated pneumonia(VAP)is a kind of pneumonia that occurs when artificial airway(tracheal intubation or tracheotomy)is established and mechanical ventilation is accepted.The occurrence of VAP will significantly prolong the ventilation time and hospitalization time of patients,increase the mortality rate and the medical burden.In order to effectively prevent and reduce the occurrence of VAP,the Society for Healthcare Epidemiology of America released the Strategies to Prevent Ventilator-Associated Pneumonia,Ventilator-Associated Events,and Nonventilator Hospital-Acquired Pneumonia in Acute-Care Hospitals:2022 Update,which is an update of the 2014 version.In order to facilitate the reading and understanding of the medical workers,this article will interpret the infection prevention and control strategies of adult VAP and ventilator-related events.

关 键 词：呼吸机相关性肺炎 呼吸机相关性事件 感染防控策略 

分 类 号：R459.7[医药卫生—急诊医学]