The influence of comprehensive intervention on ventilator associated pneumonia(VAP) in neonatal iatensive care unit
- VernacularTitle:综合性干预措施对新生儿呼吸机相关性肺炎的影响
- Author:
Xiaoyan LI
1
;
Mengping SHEN
Author Information
1. 郑州市第一人民医院新生儿科
- Keywords:
Prevention;
Ventilator-associated pneumonia;
Newborn
- From:
China Modern Doctor
2015;(16):58-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To obeserve the influence of comprehensive intervention on ventilator associated pneumonia (VAP) in neonatal iatensive care unit. Methods From January 2013 to January 2014, 98 neonates received intubation and mechanical ventilation in neonatal intensive care unit (NICU) were selected and divided into treatment group and control group by 1:1 matched case-control study. And each group had 49 neonates. Preventive factors of treatment group were included levating patient's head and chest to 30 degrees to the horizontal level, closed endotracheal suction systems, washing hands, intensiving frequency of oral-pharyngeal nursing with thorough suction, changing ventiahor tube after three days. While the control group was given routine intervention. The incidence of VAP, the length of hos-pital stay and ventilator time were measured and compared between two groups. Results Compared with control group, neonates in treatment group had lower incidence of VAP (10.20%v s 28.57%) and shorter ventilator time [(60.36±9.23) h vs (67.52±8.55h)]. There was difference on hospital stay between the two groups(P<0.05). Conclusion The preventive factors including levating patient's head and chest to at least 30 degrees to the horizontal level, closed endotracheal suction systems, washing hands, intensiving frequency of oral-pharyngeal nursing with thorough suction, changing venti-ahor tube after three days can reduce incidence of ventilator-associated pneumonia, shorten ventilator time and length of hospital stay.
