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題名:重症病患呼吸器相關肺炎的預防與照護
書刊名:護理雜誌
作者:胡淑琴李茹萍
作者(外文):Hu, Shu-chinLee, Ru-ping
出版日期:2012
卷期:59:4
頁次:頁12-17
主題關鍵詞:呼吸器相關肺炎呼吸器院內感染Ventilator-associated pneumoniaVentilatorNosocomial infection
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:2
  • 點閱點閱:40
呼吸器相關肺炎是指病患插管使用呼吸器超過 48小時後產生的院內肺炎,也是重症單位插管病患最常見的院內感染疾病之一。呼吸器是提供病患氧合和換氣的重要儀器,而呼吸器的人為操作、設備設施與感染之間,一直在臨床上維持著重要的相互關聯性。呼吸器相關肺炎不僅提高病患死亡率、延長加護病房留住天數、增加醫療成本支出,更嚴重地影響病患預後以及整體住院之醫療品質。本文主要目的在提供一些呼吸器相關肺炎的成因與預防措施,期望能做為臨床照護人員照護上之參考。
Ventilator-associated pneumonia (VAP) is a hospital-acquired pneumonia that occurs in patients usually 48 hours or more after mechanical ventilator intubation. VAP is the most common nosocomial infection in critically ill patients. Mechanical ventilators are critical oxygenation and ventilation systems for patients. However, there is a close relationship among self-use efficacy, system settings, and VAP infection rate. VAP not only results in higher mortality, longer hospital stays, and higher medical costs, but also negatively affects patient outcomes and medical care quality. The purpose of this article was to provide reference information on VAP risk factors and prevention measures.
Other
1.國家衛生研究院National Health Research Institutes, Taiwan, ROC.(200706)。肺炎臨床診療指引Clinical practice guidelines for pneumonia。  延伸查詢new window
2.Afessa, B., Shorr, A. F., Anzueto, A. R., Craven, D. E., Schinner, R., & Kollef, M. H.(2010)。Association between a silvercoated endotracheal tube and reduced mortality in patients with ventilator-associated pneumonia。  new window
3.Aragon, D., & Sole, M. L.(2006)。Implementing best practice strategies to prevent infection in the ICU。  new window
4.Ashraf, M., & Ostrosky-Zeichner, L.(2012)。Ventilator-associated pneumonia: A review。  new window
5.Centers for Disease Control and Prevention(2010)。Frequently asked questions about ventilator-associated pneumonia。  new window
6.Chastre, J., & Fagon, J. Y.(2002)。State of the art: Ventilator-associated pneumonia。  new window
7.Chen, Y. C., Wu, L. F., Lin, L. H., Chen, T. L., & Chou, S. S.(2008)。Effectiveness of an oral care protocol for preventing ventilator-associated pneumonia。  new window
8.Gursel, G., & Demirtas, S.(2006)。Value of APACHE II, SOFA and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia。  new window
9.Juneja, D., Javeri, Y., Singh, O., Nasa, P., Pandey, R., & Uniyal, B.(2011)。Comparing influence of intermittent subglottic secretions drainage with/without closed suction systems on the incidence of ventilator associated pneumonia。  new window
10.Leasure, A. R., Stirlen, J., & Lu, S. H.(2012)。Prevention of ventilator-associated pneumonia through aspiration of subglottis secretions。  new window
11.Munro, C. L., & Grap, M. J.(2004)。Oral health and care in the intensive care unit: State of the science。  new window
12.Niël-Weise, B. S., Gastmeier, P., Kola, A., Vonberg, R. P., Wille, J. C., van den Broek, P. J., & Bed Head Elevation Study Group(2011)。An evidence-based recommendation on bed head elevation for mechanically ventilated patients。  new window
期刊論文
1.林明鋒、彭雅翎、陳敏慧、葉惠玟、黃美鑾(20071000)。噴霧治療後小量噴霧器細菌污染情形之研究。感染控制雜誌,17(5),287-298。  延伸查詢new window
2.Rello, J.、Diaz, E.(2003)。Pneumonia in the intensive care unit。Critical Care Medicine,31(10),2544-2551。  new window
3.Ramirez, P.、Bassi, G. L.、Torres, A.(2012)。Measures to prevent nosocomial infections during mechanical ventilation。Current Opinion in Critical Care,18(1),86-92。  new window
4.許家蕙、江大雄、楊麗瑟(20020200)。呼吸管路更換頻率對使用呼吸器病人感染肺炎之影響。院內感染控制雜誌,12(1),10-21。  延伸查詢new window
5.姚俐音、張承圭、馬素華、王彥雯、陳佳慧(20111200)。Brushing Teeth with Purified Water to Reduce Ventilator-Associated Pneumonia。The Journal of Nursing Research,19(4),289-297。new window  延伸查詢new window
6.周翠蓉、張淑娟、林素玉、董怡君(20110700)。某加護病房呼吸器相關肺炎(VAP)照護改善專案。澄清醫護管理雜誌,7(3),63-71。  延伸查詢new window
7.行政院衛生署(19970600)。「加強加護中心院內感染監測」試辦計畫成果--1995年7月至1996年6月。院內感染控制雜誌,7(3),154-162。  延伸查詢new window
8.孫春轉、張瑛瑛、王秀華、王麗華、林慧姬、潘惠如、張上淳(20030400)。外科加護病房呼吸器管路更換頻率與其肺炎相關感染率之比較。感染控制雜誌,13(2),62-72。  延伸查詢new window
9.蕭秀鳳、周蘭娣、黃淑芬、蔡熒煌、江秉誠、許光宏(20110100)。呼吸照護中心呼吸器管路更換策略之效性探討。呼吸治療雜誌,10(1),43-54。  延伸查詢new window
10.Roberts, Nesta、Moule, Pam(2011)。Chlorhexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates。Nursing in Critical Care,16(6),295-302。  new window
其他
1.行政院衛生署疾病管制局(2009)。新版醫療照護相關感染監測定義,https://is.gd/GhqxFq。  延伸查詢new window
 
 
 
 
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