The risk factors of venti lator-associated pneumonia among multiple-injury patients in the intensive care unit
GUO Pengli
CAI Suyin
CHEN Huimin
WANG Juxiang
Abstract：Objective To investigate the risk factors of ventilator-associated pneumonia in multiple-injury patients.Methods Multiple-injury patients enrolled to our intensive care unit(ICU)from January to December 2013 were studied on their medical records and risk factors of ventilator-associated pneumonia. Results Among all the 98 patients,35 suffered from VAP ,with an occurrence rate of 35.7%.Single-factor analysis showed that the stay length in ICU,duration of using antibiotics continuously,days of tracheal intubation and mechanical ventilation,as well as nasal feeding and severity of injury in the head-neck and chest were the risk factors of VAP .The logistic regression analysis showed that the duration of tracheal intubation and severity of injury in the head-neck and chest injury were the independent risk factors.Conclusion Multiple-injury patients with mechanical ventilation have a high occurrence of VAP . Better preventing and controlling measures against VAP should be adopted for patients who need long-term tracheal intubation with the severe head-neck and chest injury.
Keywords：Ventilator-associated pneumoniaInjuryInjury severity score
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 474-478 )