Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit_West China Medical Journal

Authors：

 OuyangXingxin ¹ ,  ZhouYanhua ² , YanJuan ² , WuJunling ²

1. Department of Clinical Medicine, Hunan University of Chinese Traditional Medicine, Changsha, Hunan 410006;
2. Department of Nosocomial Infection Control, Hunan Tumor Hospital/Tumor Hospital, Xiangya School of Medicine of Central South University, Changsha, Hunan 410013, P. R. China;

Corresponding author：

ZhouYanhua, Email: 645254885@qq.com

Keywords：

Tumor patient; Intensive Care Unit; Ventilator-associated pneumonia

DOI：

10.7507/1002-0179.201600496

Video：

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Objective To investigate the causes of ventilator-associated pneumonia (VAP) in patients with tumor in Intensive Care Unit (ICU), and take effective intervention measures to reduce the incidence of VAP. Methods The targeted monitoring was conducted for the ICU patients who underwent the mechanical ventilation for over 48 hours from January 2013 to December 2014. Then the conventional nursing measures where adopted in 2013 without any field intervention measure implemented. While the prevention and control method was conducted in 2014 and the causes of VAP was valued and anyzed. Results After adopting intervention measures, the thousand-day rate of VAP decreased from 8.71‰ before the interventions to 2.30‰ after the interventions. The utilization rate of ventilators increased from 63% to 72% after the interventions were taken in 2014. The constituent ratio of the multidrug-resistant bacteria among the isolated pathogens in each year presented a downward trend. Conclusion VAP is common in ICU patients. It is necessary to reach preventive measures and designated position and ventilator management so as to prevent the occurrence of new nosocomial infection.

Citation： OuyangXingxin, ZhouYanhua, YanJuan, WuJunling. Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit. West China Medical Journal, 2016, 31(11): 1807-1810. doi: 10.7507/1002-0179.201600496 Copy

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1. 周玉仙, 涂丽娜. 重症监护病房呼吸机相关性肺炎目标监测分析[J].华西医学, 2014, 29(10):1933-1935.
2. 朱仕超, 宗志勇, 乔甫, 等. 新版定义的呼吸机相关性肺炎的目标性监测[J].华西医学, 2016, 31(3):418-421.
3. 任南, 文细毛, 吴安华. 重症监护病房(ICU)医院感染监测[J].医院感染监控信息, 2010, 24(3):11.
4. 于洪涛, 贾金广, 王敏, 等. 呼吸重症监护病房呼吸机相关性肺炎的危险因素分析[J].中国呼吸与危重监护杂志, 2011, 10(1):69-71.
5. 孙彩霞. ICU呼吸机相关性肺炎的原因分析及护理对策[J].中华医院感染学杂志, 2013, 23(5):1007-1009.
6. 任惠英, 罗解萍, 钱小毛. 恶性肿瘤患者手术后医院获得真菌性肺炎的危险因素分析[J].中华医院感染性杂志, 2013, 23(14):3382-3384.
7. 李六亿, 吴安华, 胡必杰. 如何提升医院感染预防与控制能力[M].北京:北京大学医学出版社, 2015.
8. 中华人民共和国卫生部. WS/T 313-2009医务人员手卫生规范[S].2009.
9. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting[J].Am J Control, 2008, 36(5):309-332.
10. 中华人民共和国卫生部. WS/T 312-2009医院感染检测规范[S].2009.
11. 任玲, 周宏, 郑霞, 等. 医院感染目标性监测与全国综合性监测方法对比研究[J].中华医院感染学杂志, 2006, 16(9):995-997.
12. 李卫光, 秦成勇, 王一兵, 等. 山东省12所综合医院ICU医院感染目标监测分析[J].中华医院感染学杂志, 2009, 19(4):384-386.
13. 侯如蓉, 郦守国, 林志安, 等. 放射性肺损伤的研究进展[J].实用癌症杂志, 2011, 26(5):531.
14. Metheny NA, Clouse RE, Chang YH, et al. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients:frequency, outcomes, and risk factors[J].Crit Care Med, 2006, 34(4):1007-1015.
15. Safdar N, Crnich CJ, Maki DG. The pathogenesis of ventilator-associated pneumonia:its relevance to developing effective strategies for prevention[J].Respir Care, 2005, 50(6):725-739.
16. Rello J, Soñora R, Jubert P, et al. Pneumonia in intubated patients:role of respiratory airway care[J].Am J Respir Crit Care Med, 1996, 154(1):111-115.

West China Medical Journal

Effect of Interventions on Ventilator-associated Pneumonia in Patients with Tumor in Intensive Care Unit

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