Analysis of ICU ventilator-associated pneumonia and nursing

Objective To exploring methods of care for reducing the incidence of VAP by investigating the cause of ventilator-associated pneumonia( VAP). Methods From January 2009 to December 2011,90 cases of VAP paitents were ventilated mechanically in the ICU ward,and the nursing strategy was taken. Relation between age,underlying diseases,mechanical ventilation time and pathway creating the artificial airway and the occurred VAP were analyzed retrospectively. Results 21 case occurred VAP,the ratio was 23. 33%,the age,underlying diseases and mechanical ventilation time were relevant to the occurrence of VAP( P 0. 01),the occurred VAP weren't significant differences among 3 pathway creating the artificial airway( P 0. 05). Conclusion We should reduce the incidence of VAP by strengthening nurse,dealing with the related factors of occurrence VAP,shortening the duration of mechanical ventilation time as far as possible.