Application of breast milk oral care on the prevention of neonatal ventilator-associated pneumonia
10.3760/cma.j.issn.1674-2907.2015.15.021
- VernacularTitle:口腔护理使用母乳预防新生儿呼吸机相关性肺炎的效果
- Author:
Yuling ZHANG
1
;
Jingfeng LI
;
Li JIANG
;
Yong JIANG
Author Information
1. 442000 十堰，湖北医药学院附属太和医院儿童医疗中心
- Keywords:
Milk,human;
Infant,newborn;
Pneumonia,ventilator-associated;
Oral care
- From:
Chinese Journal of Modern Nursing
2015;(15):1805-1807
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of breast milk ( colostrum, transitional milk, and mature milk) oral care on the prevention of ventilator-associated pneumonia (VAP) in neonatus. Methods Oral care with breast milk was implemented as part of the VAP-prevention bundle nursing in the neonatal intensive care unit ( NICU) from the January of 2012 in Taihe Hospital affiliated of Hubei University of Medicine. A total of 34 cases used normal saline as oral care ( before used breast milk as oral care) as control group between January 2010 and December 2011, and 38 cases utilized breast milk for oral care (after used breast milk as oral care) as observation group between January 2012 and December 2013. Both groups were compared by the results of oral pharyngeal and tracheal secretion culture after tracheal intubation, and the incidence of VAP. Results Contrasted 32. 35%, (103. 62 ± 23. 07) h,(17. 94 ± 2. 53) d in the control group, the incidence of VAP, duration of ventilatory support, and length of hospital stays in the observation group were 10. 53%,(92. 76 ± 14. 15) h and (14. 95 ± 2. 25) d (t/χ2 =5. 183,2. 373,5. 307;P <0. 05). After using breast milk for oral care, the pathogenic microorganisms detection rate of oropharyngeal and endotracheal was 10. 53% and 7. 89%, lower than 32. 35%and 26. 47% in the control group, the differences were statistically significant(χ2 =5. 18,4. 46;P <0. 05). Conclusions Using breast milk as oral care can effectively prevent neonatal VAP, and reduce duration of ventilatory support as well as the length hospital stays.
