Pathogenic bacterium distribution and influencing factors of hospital-acquired pneumonia for patients received non-invasive mechanical ventilation in the intensive care unit

WANG Jie; XU Yue-hong; WU Wei-wei

您当前的位置：

首页 >

文章列表页 >

Pathogenic bacterium distribution and influencing factors of hospital-acquired pneumonia for patients received non-invasive mechanical ventilation in the intensive care unit

更新时间：2022-06-24

- Pathogenic bacterium distribution and influencing factors of hospital-acquired pneumonia for patients received non-invasive mechanical ventilation in the intensive care unit
- null Issue 12, Pages: 1046(2021)
- 作者机构：
  
  南京中医药大学附属南京市中西医结合医院EICU,江苏,南京,210014
- 作者简介：
- 基金信息：
- DOI：
  CLC：
扫描看全文
WANG Jie, XU Yue-hong, WU Wei-wei. Pathogenic bacterium distribution and influencing factors of hospital-acquired pneumonia for patients received non-invasive mechanical ventilation in the intensive care unit. [J]. null (12):1046(2021)
DOI：

WANG Jie, XU Yue-hong, WU Wei-wei. Pathogenic bacterium distribution and influencing factors of hospital-acquired pneumonia for patients received non-invasive mechanical ventilation in the intensive care unit. [J]. null (12):1046(2021) DOI：

摘要

目的探讨重症监护病房无创机械通气患者医院获得性肺炎（HAP）的病原菌分布与影响因素。方法选择我院重症监护病房598例行无创机械通气的患者为研究对象

统计患者HAP的发生情况及致病菌情况

对可能导致患者发生HAP的相关因素进行统计学分析。结果 598例患者中

41例（6.86%）发生了HAP；共分离出55株致病菌

其中革兰氏阳性菌15株（27.27%）

革兰氏阴性菌32株（58.18%）

真菌8株（14.55%）。Logistic回归分析结果显示

年龄≥60岁、急性生理与慢性健康评分Ⅱ（APACHE Ⅱ）评分≥18分、合并意识障碍、无创通气时间≥7 d、呼吸机管道使用时间≥3 d及使用质子泵抑制剂是患者发生HAP的危险因素(OR>1

P<0.05)

而每日口腔清洁则是患者发生HAP的保护性因素(OR<1

P<0.05)。结论重症监护病房无创机械通气患者的HAP发生率较高

其主要致病菌为革兰氏阴性菌。年龄≥60岁、APACHE Ⅱ评分≥18分、合并意识障碍、无创通气时间≥7 d、呼吸机管道使用时间≥3 d及使用质子泵抑制剂的患者更容易发生HAP

而每日口腔清洁则可降低其发生率

临床应予以重点关注。

Abstract

关键词

重症监护病房无创机械通气医院获得性肺炎病原菌危险因素革兰氏阴性菌

Keywords

intensive care unitnon-invasive ventilationhospital-acquired pneumoniapathogenic bacteriumrisk factorsGram-negative bacterium

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Risk factors analysis of postoperative adverse events in newborns under the integrated management of internal and external departments in the ward

Construction of a nomogram prediction model for the risk of hypothermia during modified radical mastectomy

Risk factors and prediction model for periprosthetic femoral fracture after total knee arthroplasty in the elderly

Current status of research on factors affecting inferior vena cava filter retrieval

Predictive model of risk factors for restlessness during anesthesia recovery period in laparoscopic hysterectomy

Related Author

HUANG Han

JIANG Pan

YAN Li-jie

WANG Shui

WANG Qian-qian

HU Xue-yu

ZHU Meng

ZHAO Ting-ting

Related Institution

Department of Anesthesiology， West China Second University Hospital， Sichuan University

Department of Anesthesiology， West China Hospital of Sichuan University

Department of Anesthesia Surgery，First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital

Third Department of Orthopedics， the First AffiliatedHospital of Air Medical University

Affiliated Hospital of Air Medical University

⁰