呼吸机相关性肺炎PPT课件3.ppt

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5、ed, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416改变胃排空及胃液pH值的药物有生物膜的装置(气管插管, 鼻胃管)既往应用抗生素宿主因素(免疫抑制, 烧伤)消化道细菌定植细菌误吸细菌吸入医院获得性肺炎水, 药物溶液及呼吸治疗装置污染感染控制措施不够(洗手, 隔离衣, 手套)医务人员不足经胸种植原发性菌血症胃肠道细菌移位Wunderink RG, Woldenberg LS, Zeiss J, et al. The radiolog

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14、ults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416ATS/IDSA. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 1

15、71: 388-416ATS/IDSA. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416培养阴性培养阳性培养阴性培养阳性培养阴性培养阳性培养阴性培养阴性培养阳性Hamer DH. Treatment of nosocomial pneumonia and tracheobronchitis caused by

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21、ia in adults: a randomized trial. JAMA 2003; 290(19): 2588-2598Schuetz P, Christ-Crain M, Thomann R, et al. Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: The ProHOSP randomized controlled trial. JAMA 2009; 302(10): 1059-1066S

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23、uetz P, Christ-Crain M, Thomann R, et al. Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: The ProHOSP randomized controlled trial. JAMA 2009; 302(10): 1059-1066(III)ATS/IDSA. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416

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