Thực trạng viêm phổi thở máy và một số yếu tố liên quan tại Bệnh viện đa khoa Xanh Pôn

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Tác giả: Viết Tiệp Đỗ, Đình Hưng Nguyễn, Thu Hương Nguyễn, Minh Châu Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y tế Công cộng, 2020

Mô tả vật lý:

Bộ sưu tập: Metadata

ID: 330093

Thêm vào giỏ Liên kết toàn văn

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.Viêm phổi thở máy (VPTM) là nhiễm khuẩn bệnh viện liên quan đến chăm sóc y tế thường gặp trong các loại nhiễm khuẩn bệnh viện, ảnh hưởng đến hiệu quả điều trị. Mục tiêu nghiên cứu: Mô tả thực trạng viêm phổi liên quan đến thở máy và xác định các yếu tố liên quan đến viêm phổi thở máy tại bệnh viện đa khoa Xanh Pôn. Phương pháp: nghiên cứu tiến cứucắt ngang, thực hiện trên 711 bệnh nhân tại khoa Hồi sức Tích cực - chống độc và Hồi sức cấp cứu Ngoại Bệnh viện Đa khoa Xanh Pôn, trong thời gian từ tháng 4 năm 2018 đến tháng 4 năm 2020. Kết quả: VPTM gặp ở 75,8% nam giới
tỷ lệ mới mắc: 9,28%
tỷ suất mật độ mới mắc 7,61/1000 BN-ngày thở máy
tỷ lệ tử vong: 33,33%. Thời gian trung bình xuất hiện VPTM: 12,067,83 ngày. Các căn nguyên gây VPTM: A. Baumannii (44,59%), K. pneumoniae (27,03%), Escherichia coli (12,16%). Kết luận: VPTM gặp nhiều ở nam giới, thường xuất hiện ở tuần thứ hai sau đặt NKQ. Các tỉ lệ mới mắc, tỉ suất mật độ mới mắc, tỉ lệ tử vong còn cao. Căn nguyên vi sinh vật gây VPTM phân lập được cho thấy cần tiếp tục các biện pháp kiểm soát nhiễm khuẩn trong thực hành chăm sóc bệnh nhân thở máy.

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