波兰医院重症监护病房中的医院获得性肺炎。

Hospital-acquired pneumonia in the intensive care units of Polish hospitals.

作者信息

Wójkowska-Mach Jadwiga, Bulanda Małgorzata, Rózańska Anna, Kochan Piotr, Heczko Piotr B

机构信息

Jagiellonian University Medical College, Cracow, Poland.

出版信息

Infect Control Hosp Epidemiol. 2006 Jul;27(7):784-6. doi: 10.1086/504447. Epub 2006 May 12.

DOI:10.1086/504447

PMID:16807862

Abstract

We analyzed the epidemiological characteristics of pneumonia in intensive care units of Polish hospitals. Among 11,587 patients, there were 191 cases of hospital-acquired pneumonia (HAP). The incidence of HAP was 5.6%, and that of ventilator-associated pneumonia (VAP) was 17.9%. The overall mortality rate was 12.6%, and the mortality rate for patients who received artificial ventilation was 15.0%. The predominant organisms causing HAP and VAP were Pseudomonas aeruginosa and Escherichia coli, and 21.1% of Staphylococcus aureus isolates were resistant to methicillin.

摘要

我们分析了波兰医院重症监护病房肺炎的流行病学特征。在11587名患者中，有191例医院获得性肺炎（HAP）。HAP的发病率为5.6%，呼吸机相关性肺炎（VAP）的发病率为17.9%。总体死亡率为12.6%，接受人工通气患者的死亡率为15.0%。引起HAP和VAP的主要病原体是铜绿假单胞菌和大肠杆菌，21.1%的金黄色葡萄球菌分离株对甲氧西林耐药。