Analysis and countermeasure on the high risk factor of ventilator associated pneumonia

Abstract

Objective To analyze the high risk factor of ventilator associated pneumonia(VAP),make nursing measures so as to prevent and reduce the occurrence of YAP.Methods The clinical data of233 patients with mechanical ventilation were collected from February to December 2008 in ICU; analyzed the cause of VAP and take the corresponding measures.Results The incidence of VAP was 72 cases and the infection rate was 30.99%;and 33 cases improved or cured,30 cases died and 9 cases unrecovered.The incidence of VAP was 51.9%(56/108)if the hospitalization time was over 7 days and 68.6%(24/35)if mechanical ventilation over 14 days.The incidence of VAP was significant difference between tracheotomyithe difference of YAP inci-dence had no significance between coma patients and non-coma patients(P>0.05).Conclusion The high incidence of VAP is associated with several clinical factors,including hospitalization time,mechanical ventilation time,tracheotomy and indwelling gastric tube.According these high risk factors,taking and carrying out all nursing measures are a key to control infection and improve the success rate of rescue. Key words: Ventilator associated pneumonia; High risk factor; Nursing