新生儿呼吸机相关肺炎病原微生物和危险因素分析
|
摘要
<正>呼吸机相关肺炎(ventilator-associated pneumonia,VAP)是机械通气>48 h或者拔管后48 h内,出现的肺部炎症,属于医院获得性肺炎的重要类型,目前新生儿VAP发生率较高,是导致新生儿死亡的主要病因之一[1,2]。对VAP高危患儿进行早期干预减少甚至避免疾病发生,对已经存在VAP的新生儿明确病原菌并选择敏感抗生素治疗,均是优化新生
引文
[1]邱静.围产期新生儿肺炎90例病因及其诊治分析[J].陕西医学杂志, 2012, 41(5):633-636.
[2] Narayanan A, Dixon G, Chalkley S, et al. Ventilator-associated pneumonia in children:comparing the plethora of surveillance definitions[J]. J Hosp Infect, 2016, 94(2):163-164.
[3]吴清岩.新生儿呼吸机相关肺炎的病原学及耐药性分析[J].中国感染与化疗杂志, 2013, 20(13):40-43.
[4] Chaudhury A, Rani AS, Kalawat U, et al. Antibiotic resistance& pathogen profile in ventilator-associated pneumonia in a tertiary care hospital in India[J]. Indian J Med Res, 2016, 144(3):440-446.
[5] Tekgündüz KS, Kara M, Caner I, et al. The value of endotracheal aspirate culture in newborn infants with ventilator associated pneumonia[J]. TuberkToraks, 2015, 63(1):60-61.
[6]黄妮妮,胡美春,韦思尊,等.呼吸机相关肺炎发病率及危险因素前瞻性研究[J].中国感染控制杂志, 2016, 15(11):845-848.
[7]黎春常,李艳敏,蓝惠兰.慢性阻塞性肺疾病并发真菌性呼吸机相关性肺炎的危险因素和护理对策[J].广东医学,2013, 34(17):2747-2750.
[8] Chu SM, Yang MC, Hsiao HF, et al. One-week versus 2-day ventilator circuit change in neonates with prolonged ventilation:cost-effectiveness and impact on ventilator-associated pneumonia[J]. Infect Control Hosp Epidemiol, 2015, 36(3):287-293.
[9]姜嘟嘟,柳毅刚,詹青. 216例神经科重症监护病房患者医院感染及病原菌分析[J].中国感染与化疗杂志, 2013,13(1):35-38.
[10]Thatrimontrichai A, Techato C, Dissaneevate S, et al. Risk factors and outcomes of carbapenem-resistant Acinetobacter baumannii ventilator-associated pneumonia in the neonate:A case-case-control study[J]. J Infect Chemother, 2016, 22(7):444-449.
[2] Narayanan A, Dixon G, Chalkley S, et al. Ventilator-associated pneumonia in children:comparing the plethora of surveillance definitions[J]. J Hosp Infect, 2016, 94(2):163-164.
[3]吴清岩.新生儿呼吸机相关肺炎的病原学及耐药性分析[J].中国感染与化疗杂志, 2013, 20(13):40-43.
[4] Chaudhury A, Rani AS, Kalawat U, et al. Antibiotic resistance& pathogen profile in ventilator-associated pneumonia in a tertiary care hospital in India[J]. Indian J Med Res, 2016, 144(3):440-446.
[5] Tekgündüz KS, Kara M, Caner I, et al. The value of endotracheal aspirate culture in newborn infants with ventilator associated pneumonia[J]. TuberkToraks, 2015, 63(1):60-61.
[6]黄妮妮,胡美春,韦思尊,等.呼吸机相关肺炎发病率及危险因素前瞻性研究[J].中国感染控制杂志, 2016, 15(11):845-848.
[7]黎春常,李艳敏,蓝惠兰.慢性阻塞性肺疾病并发真菌性呼吸机相关性肺炎的危险因素和护理对策[J].广东医学,2013, 34(17):2747-2750.
[8] Chu SM, Yang MC, Hsiao HF, et al. One-week versus 2-day ventilator circuit change in neonates with prolonged ventilation:cost-effectiveness and impact on ventilator-associated pneumonia[J]. Infect Control Hosp Epidemiol, 2015, 36(3):287-293.
[9]姜嘟嘟,柳毅刚,詹青. 216例神经科重症监护病房患者医院感染及病原菌分析[J].中国感染与化疗杂志, 2013,13(1):35-38.
[10]Thatrimontrichai A, Techato C, Dissaneevate S, et al. Risk factors and outcomes of carbapenem-resistant Acinetobacter baumannii ventilator-associated pneumonia in the neonate:A case-case-control study[J]. J Infect Chemother, 2016, 22(7):444-449.