Relevent factors,prevention and treatment of neonatal ventilator-associated pneumonia
10.3760/cma.j.issn.1673-4912.2011.03.013
- VernacularTitle:新生儿呼吸机相关性肺炎的相关因素及防治探讨
- Author:
Shengyu YAN
;
Cheng WAN
;
Jianhong WANG
;
Gang ZHENG
;
Lingling WEN
- Publication Type:Journal Article
- Keywords:
Mechanical ventilation;
Ventilator-associated pneumonia;
Relevant factor;
Prevention and treatments;
Neonate
- From:
Chinese Pediatric Emergency Medicine
2011;18(3):233-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relevant factors of neonatal ventilator-associated pneumonia(VAP),and to provide a theoretical basis of prevention and treatment.Methods Retrospective analyed the clinical data of 145 critically ill neonates,who were treated with mechanical ventilator from Jan 2006 to Dec 2009 in the Third People′s Hospital of Wenzhou City,NICU.According to whether the neonates were occurred VAP,they were divided into two groups:VAP group(52 cases) and without VAP group(93 cases).Results Fifty-two out of the 145 neonates developed VAP.The incidence of VAP was 35.86%,the main relevent factors were the gestational ages,birth weights,the duration of mechanical ventilation and the times of intubation.There was significant difference between the two groups (P<0.05).The main pathogens were opportunistic bacteria,and mostly were G-bacilli.Conclusion The incidence of VAP has a close conclusion with the gestational ages,the birth weights,the duration of mechanical ventilation and the times of intubation.Regulate the use of breathing machine,strengthen aseptic operation,and select effective antibiotic can control the occurrence and development of VAP.
