Effect of cluster intervention on ventilator-associated pneumonia with mechanical ventilation
10.3969/j.issn.1671-8348.2015.07.019
- VernacularTitle:集束化干预在机械通气预防呼吸机相关性肺炎中的应用
- Author:
Guihua CHEN
;
Daoxin WANG
;
Shuangyu LI
;
Shaocong YING
;
Longfang KUANG
- Publication Type:Journal Article
- Keywords:
mechanical ventilation;
cluster;
intervene;
ventilator-associatedpneumonia
- From:
Chongqing Medicine
2015;(7):919-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of cluster interventions for prevention of ventilator-associated pneumonia (VAP)on mechanical ventilation.Methods A total of 110 patients with mechanical ventilation more than 48 hours at the intensive care unit(ICU)between April 2011 and June 2012 were randomly divided into three groups:control group(n=36),subglottic secre-tion drainage(SSD)group(n=37),cluster(CL)group(n=37).At the end of study,VAP incidence rate,VAP related death rate, duration of mechanical ventilation,ICU length of stay(LOS)were investigated and compared among the three groups.Results The morbidities of VAP between control group and SSD group were significantly different in the third day,the 7th day of mechanical ventilation.The morbidity of VAP of CL group was lower than that of control group,The morbidity of VAP of CL group was lower than that SSD group in the over 9 day.and its duration of mechanical ventilation and ICU LOS were significantly lower than those of SSD group and control group.However,there was no significant difference of VAP related death rate among the three groups. Conclusion Strictly implement semi-supine position and oropharynx intervention strategies of each link in mechanical ventilation that has important significance to preventing ventilator-associated pneumonia.
