呼吸机相关肺炎的诊断与预防.ppt.pptVIP

* * * * * * * * * * * * * * * * * * Program focuses on teamwork and culture change * 仪器表面的屏障保护 在进行病人护理时频繁地被手套接触 容易被体液污染 难以清洁 不透气的纸张、铝箔和塑料或者防水盖子均适用于作屏障保护。 卫生保健机构环境感染控制指南2003·CDC＆HICPAC * * 每天评估，尽早撤机 * * Changing Views of VAP No longer just an “unfortunate” occurrence Viewed as medical error Institute of Medicine Leapfrog Group JCAHO – hospitals required to show VAP prevention/reduction measures * * 中山医院干预措施对VAP发病率的影响（2004.10~2009.12） 呼吸机相关肺炎减少了，BSI呢？ * * * * 对于VAP，医院买单与病人买单，我们的预防方法会有差别吗？ Life is full of choices with different ends, so making decision is a part of life and a kind of art show a