Current situation of Ventilator-Associated Pneumonia and related factors

Dinh-Hung Nguyen, Thu Huong Nguyen, Minh Pham, V. T. Do
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Abstract

Ventilator-Associated Pneumonia (VAP) is a common infectionrelated-healthcare in hospital that has affected to treatment effectiveness. Research objectives: Describe the current situation of VAP and identify related factors to the VAP at Saint Pault Hospital. Method: cross-sectional study, performed on 711 patients at the Department of Intensive Care, Anti-Poisoning and Emergency Resuscitation at Saint Pault Hospital, from April 2018 to April 2020. Results: Incidence rate of VAP was counted at 9.28% that the male patients was counted 75.8%; the rate of new incidence was 7.61/1000 person-day Ventilator-associated; Mortality rate of VAP patients was 33.33%. Average time to appear VAP was 12.06 7.83 days. The VAP were caused by A. baumannii (44.59%), K. pneumoniae (27.03%), Escherichia coli (12.16%). Conclusion: VAP is more common in male, usually appears in the second week after the Ventilator-associated. The incidence rates, incidence rates and mortality rates were high. The microbiological pathogen were isolated that suggest to continuesanitation control in health-care practice for ventilatory-associated patients. Key words: Ventilator-AssociatedPneumonia, hospital infection, Saint Paul hospital
呼吸机相关性肺炎现状及相关因素分析
呼吸机相关性肺炎(VAP)是一种常见的医院感染相关保健疾病,影响着治疗效果。研究目的:描述圣保罗医院VAP的现状,并找出影响VAP的相关因素。方法:横断面研究,对2018年4月至2020年4月在圣保罗医院重症监护、抗中毒和紧急复苏科就诊的711例患者进行研究。结果:VAP发生率为9.28%,其中男性占75.8%;呼吸机相关的新发发病率为7.61/1000人日;VAP患者死亡率为33.33%。出现VAP的平均时间为12.067.83天。VAP由鲍曼不动杆菌(44.59%)、肺炎克雷伯菌(27.03%)、大肠杆菌(12.16%)引起。结论:VAP多见于男性,通常出现在呼吸机后第2周。发病率、发病率和死亡率都很高。分离出微生物病原体,提示在呼吸相关患者的卫生保健实践中应继续进行卫生控制。关键词:呼吸机相关性肺炎,医院感染,圣保罗医院
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