Volume 20 Issue 4
Apr.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(4): 685-687
LIU Yu-ling, XIA Hong-lin, ZHANG Hui-ping, LIU Jie, HAO Wei-min. Analysis on the incidence and related factors of ventilator-related pneumonia in a general hospital[J]. Chinese Journal of General Practice, 2022, 20(4): 685-687. doi: 10.16766/j.cnki.issn.1674-4152.002430
Citation: LIU Yu-ling, XIA Hong-lin, ZHANG Hui-ping, LIU Jie, HAO Wei-min. Analysis on the incidence and related factors of ventilator-related pneumonia in a general hospital[J]. Chinese Journal of General Practice, 2022, 20(4): 685-687. doi: 10.16766/j.cnki.issn.1674-4152.002430
shu

Analysis on the incidence and related factors of ventilator-related pneumonia in a general hospital

doi: 10.16766/j.cnki.issn.1674-4152.002430
  • 1.

    Department of Clinical Center Laboratory, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China

Funds:

 202004j07020026

 SZSKJJZC031

  • Received Date: 2021-09-18
    Available Online: 2022-08-20
    Abstract
  •   Objective  To investigate the incidence and related factors of ventilator associated pneumonia (VAP) in the intensive care unit (ICU) of a general hospital, and guide the prevention and control of VAP.  Methods  Target monitoring of VAP was carried out in the ICU of a general hospital (including ICU, EICU and NICU) from 2017 to 2018. Patients on ventilator and patients with VAP were investigated. The occurrence of VAP, related factors and pathogen characteristics were analysed. SPSS 20.0 software was used to establish a multivariate logistic regression model and analyse the related factors of VAP.  Results  (1) The utilisation rate of ventilators in ICU patients was 33.58%, a total of 58 cases of VAP infection occurred, and the infection rate of VAP was 5.89‰. The use rate of ventilators in ICU patients in 2018 was lower than that in 2017, and the difference was statistically significant (P < 0.05). (2) Age (P < 0.001), cerebral haemorrhage (P=0.028), tracheotomy (P=0.009), length of stay in the hospital (P < 0.001) and length of ventilator use (P < 0.001) were risk factors for VAP, whilst age, tracheotomy and length of ventilator use were independent risk factors for VAP (OR>1, P < 0.05). (3) The top VAP-related pathogens were Acinetobacter baumannii (27, 58.62%), Klebsiella pneumoniae (17, 24.14%), Proteus mirabilis (4, 6.90%) and Pseudomonas aeruginosa (4, 6.90%).  Conclusion  The monitoring and prevention of VAP should be strengthened, and the risk factors should be focused to reduce the incidence of VAP.

     

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