以前瞻性方式探討某醫學中心外科暨神經加護中心呼吸器相關肺炎感染因子

The Study of Factors on Ventilator-Associated Pneumonia by Prospective Way at Surgical and Neurosurgery Intensive Care Units in a Medical Center

廖如文(Ru-Wen Liao) ； 洪培菁(Pei-Jing Hung) ； 張玲華(Lin-Hwa Chang) ； 張秉宜(Bieng-Yi Chang) ； 蕭鵬卿(Peng-Ching Hsiao) ； 顧乃平(Nai-Ping Ku)

《重症醫學雜誌》 9卷4期 (2008/12) Pp. 216-227

https://doi.org/10.30035/TCCM.200812.0001

摘要

This was a prospective study, based on the Taiwan quality indicator project (TQIP). Data were collected by 125 patients who had been placed continually on ventilator over 48 hours and admitted to the neurosurgery intensive care unit (NICU) and surgical intensive care unit (SICU) at a medical center from March to November, 2007. Data were analyzed using the SPSS for Windows 13.0 statistic software package including description statistics, t-test, one-way ANOVA, and Pearson correlation analysis. Results of this study were briefly described as follow: (1) Length of time on ventilator and infected before admitted to NICU were related significantly with ventilator associated pneumonia (VAP) for the patients admitting to NICU. (2) Length of time admitting to SICU, condensed water revealed in the pipe of ventilator, vomited and feeding way were related significantly with VAP for the patients admitting to SICU. (3) Infected source that isolated from VAP at NICU were: Klebsilla spp., P.aeruginosa, Methecillin Sensitive S.aereus; while at SICU were Acinetobacter baumanii, P.aeruginosa, Candida albican.

關鍵字

呼吸器相關肺炎 ； 外科加護中心 ； 神經外科加護中心

並列摘要

This was a prospective study, based on the Taiwan quality indicator project (TQIP). Data were collected by 125 patients who had been placed continually on ventilator over 48 hours and admitted to the neurosurgery intensive care unit (NICU) and surgical intensive care unit (SICU) at a medical center from March to November, 2007. Data were analyzed using the SPSS for Windows 13.0 statistic software package including description statistics, t-test, one-way ANOVA, and Pearson correlation analysis. Results of this study were briefly described as follow: (1) Length of time on ventilator and infected before admitted to NICU were related significantly with ventilator associated pneumonia (VAP) for the patients admitting to NICU. (2) Length of time admitting to SICU, condensed water revealed in the pipe of ventilator, vomited and feeding way were related significantly with VAP for the patients admitting to SICU. (3) Infected source that isolated from VAP at NICU were: Klebsilla spp., P.aeruginosa, Methecillin Sensitive S.aereus; while at SICU were Acinetobacter baumanii, P.aeruginosa, Candida albican.

並列關鍵字

Ventilator associated pneumonia ； VAP ； Surgical intensive care unit ； SICU ； Neurosurgical intensive care unit ； NICU