Risk factors for ventilator-associated pneumonia in neonates

OBJECTIVE To explore the risk factors for ventilator-associated pneumonia(VAP)in the neonates and put forward targeted nursing interventions so as to reduce the mortality of the neonates and improve prognosis.METHODS The clinical data of 573 neonates who underwent maintained mechanical ventilation were retrospectively analyzed,then the incidence of VAP was taken for statistics,and the univariate chi-square test and multivariate logistic regression analysis were performed for the related risk factors.RESULTS The VAP occurred in 204 patients,with the incidence of 35.60%.The gestational age less than 37 weeks,horizontal body position,mechanical ventilation duration no less than 5.63 days,birth weight less than 2 500 g,and aspiration of gastric contents were the independent risk factors for VAP(P0.05).CONCLUSIONThe VAP in the neonates is associated with the premature delivery,low birth weight,horizontal body position,aspiration of gastric contents,or mechanical ventilation duration.It is necessary to take targeted nursing measures according to the risk factors so as to reduce the incidence of VAP and improve the prognosis.