OBJECTIVE To analyze the high risk factors and etiology character of ventilator-associated pneumonia(VAP) and provide the guidance for preventing VAP. METHODS Eighty three cases given mechanic ventilation over 48 hours in ICU of our hospital from Jan to Oct 2005 were observed.Thirty seven cases met the diagnosis criteria of VAP,while 46 cases without VAP were taken as control. RESULTS Airway secretion was cultivated and Gram-negative germ was the majority(58.0%).The first three pathogens were Pseudomonas aeruginosa(32.0%),Acinetobacter,and Staphylococcus epidermidis,22.0% cases had mixed infection with fungi.Except antiacid treatment,the following factors,such as long time for mechanical ventilation,trachea incision,corticosteroids treatment and coma state had significant relationship with the occurrence of VAP. CONCLUSIONS The occurrence of VAP is related with multiple clinical factors.Clinicians should reduce high risk factors to lower the occurrence of VAP.

OBJECTIVE To find out the situation of bacteriological contamination of oxygen humidified fluid in the hyperbaric oxygen chamber in Nanfang Hospital and take appropriate measures accordingly to provide valuable reference for avoiding possibly resulting hospital infection.METHODS Before and after beginning periodically changing oxygen humidified fluid,the humidifying fluid in the oxygen humidifiers of three hyperbaric oxygen chambers in this hospital was sampled once a season.The samples were analyzed with bacteria counting and identification.RESULTS The average amount of bacteria in the samples before and after changing oxygen humidified fluid was(7.9 ? 104) CFU/ml and(2.8 ? 103) CFU/ml,respectively.Identified bacteria were conditioned pathogens,including Chryseobacterium,Acinetobacter baumannii,Escherichia coli,Pseudomonas aeruginosa,Candida albicans,etc.Among them the frequency of Chryseobacterium was the highest.The results had no correlation with the changing of seasons.CONCLUSIONS Hyperbaric oxygen chamber should be disinfected periodically,the humidified fluid should be changed every day,and the amount of bacteria in it should lower than 103 CFU/ml.

OBJECTIVE To analyze the effect of nanometer light catalysis decontamination machine on air disinfection in the hyperbaric oxygen(HBO) chamber in the hospital.METHODS The nanometer light catalysis decontamination machine was used to disinfect the HBO chamber air at the time of thirty minutes after patients leaving the chamber when the HBO therapy was finished,then the amount of bacteria in the air was monitored before and 1,2 and 3 hours after disinfection,respectively.RESULTS After disinfection using nanometer light catalysis decontamination machine,the amount of bacteria in the chamber air decreased from 764-1989 CFU/m3 before disinfection to 31-268 CFU/m3.The mean ratio of natural bacteria dissolution was more than 80%.CONCLUSIONS Using nanometer light catalysis decontamination machine is a safe and effective method for air disinfection in the HBO chamber.

OBJECTIVE To survey the hospital infection of Acinetobacter baumannii in an ICU during one week's time,and study its antibiotic resistance pattern and homogeneity.METHODS The antibiotic resistance patterns of 17 A.baumannii strains were obtained by K-B method,and their homogeneity information was determined using random amplified polymorphic DNA(RAPD).RESULTS Twelve strains of A.baumannii were isolated from the ICU,among which 3 were isolated from patients,and 9 were isolated from the surface of facilities in the ICU.Eleven strains were found to be multi-antibiotic resistant,and their resistance patterns were the same with the 5 strains from patients.RAPD results showed that the 3 strains from patients and 8 strains from the environment had the same genotype.CONCLUSIONS A small outbreak of a genotype of A.baumannii infection happens in the ICU.

OBJECTIVE To study the characteristics of pathogens and risk factors of ventilator-associated pneumonia(VAP) in our hospital to determine the prevention and treatment strategies. METHODS Prospective observation was performed in all the ventilator-related patients in 2004. RESULTS Seventy eight events of ventilator-related pneumonia among 56 cases occurred from all the 202 ventilator-related patients,the infection incidence was 98/1000VDs.The revealed important risk factors were oldness,coma,tracheotomy,use of H-2 receptor inhibitors,and prolonged mechanical ventilation.64.8% of the pathogens were G-bacilli,among which Pseudomonas aeruginosa contributed majority accounting for 22.7%,fungi accounting for 20.5%.There was wide resistance to antibiotics in G+ pathogens,including all of the isolated Staphylococcus. CONCLUSIONS VAP is caused predominantly by G-bacteria,fungi,and multiple predisposing factors.The combined treatment is necessary for control of VAP.

0.05).The incidences of ADR in the two groups(17.24% vs.14.81%) were near to each other.CONCLUSION: The esomeprazole enteric-coated capsules and esomeprazole magnesium-based triple therapy regimens are therapeutically equivalent in the eradication of Hp and it has a good safety.

Objective To study the Effect of acute peripancreatitc fluid collection and pancreatic necrosis to the prognosis of acute pancreatitis.Methods Retrospectively analyzing the prognostic effect of acute peripancreatitc fluid collection and pancreatic necrosis according to the early Computed-Tomograghy of 323 consecutive acute pancreatitis patients from Jan 2003 to Dec 2007,the end points are systemic inflammation response syndrome ( SIRS),pancreatic infection,and mortality.Results Within 5d after onset,97 of 323 cases (30%) presented with SIRS and lasted more than 2d,12 cases (3.7%) occurred pancreatic infection during middle or late phase,14 cases died,the mortality is 4.3%.141 of 323 cases (43.7%) who had acute peripancreatic fluid collection presented with SIRS,acute peripancreatic fluid collection correlated significantly with the occurrence of SIRS,P ＜ 0.05.227 cases (277/323,85.8%) had no pancreatic necrosis,no pancreatic infection occurred,46 cases (46/323,14.2% )had pancreatic necrosis,pancreatic necrosis correlated significantly with pancreatic infection,P ＜ 0.05.Conclusions Acute poripancreafic fluid collection and pancreatic necrosis had different prognostic effect to acute pancreatitis.Acute peripancreatic fluid collection correlated well with the occurrence of SIRS during the early phase;Pancreatic necrosis may be infected during middle or late phase of acute pancreatitis,more extent of pancreatic necrosis,more possible that pancreatic infection will occur.