The retrospective analysis of 61 patients with ventilator-associated pneumonia
10.3760/cma.j.issn.1008-6706.2010.02.009
- VernacularTitle:呼吸机相关性肺炎61例临床分析
- Author:
Xingjie WEN
;
Suijuan ZHAO
- Publication Type:Journal Article
- Keywords:
Pneumonia,ventilator-associated;
Drug resistance,bacterial;
Risk factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(2):162-163
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze risk factor and outcome of VAP after treatment.Methods To retrospectively analyze the incidence of VAP in 249 patients accepted mechanical ventilation.Results Logistic regression analysis shew that age,APACHE Ⅱ scores,the time of mechanical ventilation,gastric acid secretion inhibitor therapy,conscious disturbance,combinations of antibiotics,stomach catheter insertion were associated risk factors for ventilator-associated pneumonia.A total of 91 pathogenic bacterium were identified.G pathogenic bacteriums accounted for 80.2% and G~+ pathogenic bacteriums accounted for 18.6% and true fungus accounted for 1.2%.Multidrug resistance was in most pathogenic bacteriums.All patients were treated with sensitive antibiotics and 39 cases were cured(63.9 %)and 22 cases were dead(36.1 %)after 2-6 weeks treatment.Conclusion Existence of risk factors of VAP are correlated with risk factor and G-pathogenic bacteriums are major pathogenic bacteriums and common drug resisitant microorganisma lead to bad outcome.
