论文部分内容阅读
医院获得性肺炎(hospital-acquired pneumonia,HAP)或称院内肺炎(nosocomial pneumonia,NP)是指患者入院时不存在,也不处于感染潜伏期,而于入院≥48 h 发生的肺炎,包括在医院内感染而于出院48 h 内发生的肺炎。HAP 是我国第1位的院内感染,占各部位院内感染构成比的30％左右,发病率为2.33％。据上海市18家综合性医院横断面调查,HAP 导致平均住院日延长31 d,每例增加直接医疗费用1.8万元以上。HAP 病死率为20％～50％,重症 HAP 病死率高达70％。因此积极有
Hospital-acquired pneumonia (HAP) or nosocomial pneumonia (NP) refers to pneumonia that occurs at admission> 48 hours and is included in the hospital when the patient is not present on the hospital and is not infected. Infected with pneumonia within 48 h of discharge. HAP is the No. 1 nosocomial infection in China, accounting for about 30% of the nosocomial infections at various sites, with a prevalence of 2.33%. According to a cross-sectional survey of 18 general hospitals in Shanghai, HAP led to an average extension of 31 days in hospitalization, with an increase of more than 18,000 yuan in direct medical costs for each case. HAP mortality rate of 20% to 50%, severe HAP fatality rate as high as 70%. So active there