CAJ | 학술논문

目的：了解我国医院重症监护病房（ICU）呼吸机相关肺炎（VAP）的发病情况。方法选择全国12个省及直辖市共46所医院，监测2013年10月—2014年9月所有入住 ICU 患者 VAP 发病率，并将其与美国 NHSN监测数据进行比较。结果共监测 ICU 患者17358例，住院总日数为176096 d，其中插管总日数91448 d，发生VAP 813例，VAP 发病率为8．89‰，以综合 ICU 为主，其病例数占总数的76．74％；不同类型 ICU 患者 VAP 发病率差别较大，为4．50‰～32．79‰。结论我国46所医院 ICU 患者 VAP 发病率高于美国 NHSN 公布的数据，甚至高于其 P 90。
목적：료해아국의원중증감호병방（ICU）호흡궤상관폐염（VAP）적발병정황。방법선택전국12개성급직할시공46소의원，감측2013년10월—2014년9월소유입주 ICU 환자 VAP 발병솔，병장기여미국 NHSN감측수거진행비교。결과공감측 ICU 환자17358례，주원총일수위176096 d，기중삽관총일수91448 d，발생VAP 813례，VAP 발병솔위8．89‰，이종합 ICU 위주，기병례수점총수적76．74％；불동류형 ICU 환자 VAP 발병솔차별교대，위4．50‰～32．79‰。결론아국46소의원 ICU 환자 VAP 발병솔고우미국 NHSN 공포적수거，심지고우기 P 90。
Objective To explore the incidences of ventilator-associated pneumonia (VAP)in intensive care units (ICUs)in China.Methods From October 2013 to September 2014,46 hospitals in 12 provinces and cities were se-lected to participate in the study,all patients admitted to ICUs were included,the incidences of VAP were surveyed and compared with data from the U.S.National Healthcare Safety Network (NHSN).Results A total of 17 358 patients were surveyed,the total patient-days were 176 096 d,the total catheter-days were 91 448 d,813 patients developed VAP,the incidence of VAP was 8.89/1 000 catheter-days,VAP mainly occurred in general ICUs (76.74%);the incidences of VAP were varied with patients in different types of ICUs,ranging from 4.50/1 000 catheter-days to 32.79/ 1 000 catheter-days.Conclusion The incidence of VAP in patients in ICUs at 46 hospitals in China is significantly higher than that reported by NHSN,even higher than the P90 .