VAP捆绑使用对预防住院患者VAP事件的影响-人权医院ICU

Riza Munawar, M. Ihsan, Qadri Fauzi Tanjung
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引用次数: 0

摘要

医院感染是一个严重的问题,也是医院发病率和死亡率上升的原因之一。VAP的发生是由于接种口咽微生物、声门下炎、鼻窦和胃肠道的风险,特别是在仰卧位时。医疗保健改善研究所(IHI)发布的预防措施之一是创建一个VAP包,这是一系列基于证据的干预措施,方法本研究是一项横断面研究,从医疗记录中获得次要数据,评估接受VAP束的ICU患者的VAP发生率,并将其与未接受VAP束的ICU患者的VAP发生率进行比较。结果共获取病历193份,其中VAP包采集43份,未采集150份。VAP捆绑治疗组有4例发生VAP,未捆绑治疗组有59例发生VAP,采用卡方法分析,P值为0.001
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The Effect of VAP BUNDLE Use on the Prevention of VAP Incidents in Hospitalized Patients - Human Rights Hospital ICU
- Introduction Nosocomial infection is a serious problem and one of the causes of increased morbidity and mortality rates in hospitals. VAP occurs due to the risk of inoculating oropharyngeal microorganisms, subglottis, sinuses, and the gastrointestinal tract, especially in the supine position. One of the prevention measures that has been published by The Institute for Healthcare Improvement (IHI) is to create a VAP Bundle which is a series of evidence-based interventions, if implemented together for all patients with mechanical ventilation Method This research is a cross-sectional study with secondary data from medical records which assesses the incidence of VAP in ICU patients who underwent VAP bundles which will be compared with the incidence of VAP in ICU patients who do not have VAP bundles. Results 193 samples of medical records were obtained, 43 samples were carried out by the VAP bundle and 150 samples were not carried out. In the VAP bundle group, 4 samples experienced VAP and in the group that did not, 59 samples, then the data were analyzed by chi-square and a P value of 0.001 was obtained which indicated a
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