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: Y tế Cộng đồng 2021

Mô tả vật lý: 16-23

Bộ sưu tập: Metadata

ID: 402106

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Tóm tắt
Chủ đề

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., Tóm tắt tiếng anh, Ventilator-Associated Pneumonia (VAP) is a common infection related to healthcare that frequently happens among infections in hospitals and infuences treatment effectiveness. Ventilator-Associated Pneumonia (VAP) is a common infection related to healthcare that frequently happens among infections in hospitals and infuences treatment effectiveness. Incidence rate of VAP was counted at 9.28% that the male patients were counted 75.8%
the rate of new incidence was 7.61/1000 person-day Ventilator-associated
the Mortality rate of VAP patients was 33.33%. Average time to appear VAP was 12.06± 7.83 days. The VAP was caused by A. baumannii (44.59%), K. pneumoniae (27.03%), Escherichia coli (12.16%). Conclusion: VAP is more common in males, usually appears in the second week after the mechanical ventilation is placed. The incidence rates, incidence rates, and mortality rates were high. The microbiological pathogen was isolated that suggests continuing sanitation control in healthcare practice for ventilatory-associated patients

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