A multicenter prospective monitoring on incidences of ventilator-associated pneumonia in 46 hospitals in China

VernacularTitle:中国大陆46所医院呼吸机相关肺炎发病率多中心前瞻性监测
Author: Xiaodong GAO ; Bijie HU ; Yangwen CUI ; Wei SUN ; Yan SHEN
Publication Type:Journal Article
Keywords: ventilator-associated pneumonia; comprehensive intervention; oral hygiene; semi-recumbent position; daily evaluation
From: Chinese Journal of Infection Control 2015;(8):540-543
CountryChina
Language:Chinese
Abstract: Objective To explore the incidences of ventilator-associated pneumonia (VAP)in intensive care units (ICUs)in China.Methods From October 2013 to September 2014,46 hospitals in 12 provinces and cities were se-lected to participate in the study,all patients admitted to ICUs were included,the incidences of VAP were surveyed and compared with data from the U.S.National Healthcare Safety Network (NHSN).Results A total of 17 358 patients were surveyed,the total patient-days were 176 096 d,the total catheter-days were 91 448 d,813 patients developed VAP,the incidence of VAP was 8.89/1 000 catheter-days,VAP mainly occurred in general ICUs (76.74%);the incidences of VAP were varied with patients in different types of ICUs,ranging from 4.50/1 000 catheter-days to 32.79/ 1 000 catheter-days.Conclusion The incidence of VAP in patients in ICUs at 46 hospitals in China is significantly higher than that reported by NHSN,even higher than the P90 .