VAP流行病学及诊断指南2013课件

所致可高达 76% 2017-3-20 7 7 亚洲各地 VAP 的发病率 Rakshit P et al. Indian J Crit Care Med 2005;9(4):211-6. Kim JM et al., Am J Infect Control 2000; 28: 454-8 ? VAP ( 每 1000 个呼吸机使用日) –印度 46/1000 –韩国 3.5~7.1/1000 –香港 10.6/1000 –中国 2.9/1000 –泰国 10.8/1000 2017-3-20 8 VAP-- International ial Infection Control Consortium - ? across the globe : South America, Southeast Asia, Eastern Europe , Middle East. ? 173 ICUs 13.69.3 51.325.7 0 10 20 30 40 50 60AllcardiothoracicICUtraumaICUneurosurgicalICU 1000/ 机械通气日 Rosenthal et al., 2010 2017-3-20 9 VAP--NHSN ? 1500 US hospitals in 48 states Edwards et al. 2009 3 3.9 8 10.7 0 2 4 6 8 10 12AllcardiothoracicICUtraumaICUBurnICU 2017-3-20 10 Why ? This differece ? VAP lack gold standard ? The directly adopts the CDC definitions of VAP not require microbiologic