Clinical analysis on nosocomial pulmonary infection in patients with indwelling tracheal tube

Abstract

Tracheal intubation by tracheotomy or by placing a tracheal tube through larynx into trachea, is not only one of important measures which are taken to rescue critically ill patients with respiratory failure etc., but a commonly used method to prevent patients from airway obstruction in the postoperative period and facilitate mechanical ventilation. Meanwhile, the incidence rate of pulmonary infection, a complication caused by indwelling tracheal tubes, especially the incidence rate of hospital acquired pulmonary infection is apparently increasing. Particularly, pulmonary infection of this kind has characteristics of easily recurrent seizures, long treatment period and high drug-resistance. Hence, it is required for medical personnel to summarize, analyze and study not only general nursing, airway nursing and prevention of pulmonary infection, but also antibiotic selection as well as how and when to use those drugs after the incidence of pulmonary infection for the benefit of patients with indwelling tracheal tube. This article is based on a case collected from Comprehensive Surgery Department of the Third Affiliated Hospital of Inner Mongolia Medical University. The patient’s history is as follows: 1. Pulmonary infection; 2. Indwelling tracheal catheter after tracheotomy; 3. Carbon monoxide toxic cerebrosis, mute state. By means of this case analysis, it is expected to make an early detection, and give an early and proper treatment to patients with pulmonary infection caused by indwelling tracheal tubes in clinical practice.