新型冠狀病毒肺炎患者呼吸機使用感控管理專家共識_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

葛慧青 ¹ ^# , 代冰 ² ^# , 徐培峰 ¹ ^# , 段開亮 ¹ ^# , 夏金根 ³ , 段均 ⁴ , 張偉 ⁵ , 倪忠 ⁶ , 王勝昱 ⁷ , 陸蓉莉 ⁸ , 陳榮昌 ⁹ ,  羅鳳鳴 ⁶ ,  梁宗安；中華醫學會呼吸病學分會呼吸治療學組

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Corresponding?author：

羅鳳鳴, Email: fengmingluo@gmail.com; 梁宗安；中華醫學會呼吸病學分會呼吸治療學組, Email: liang.zongan@163.com

Keywords：

DOI：

10.7507/1671-6205.202002021

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Citation： 葛慧青, 代冰, 徐培峰, 段開亮, 夏金根, 段均, 張偉, 倪忠, 王勝昱, 陸蓉莉, 陳榮昌, 羅鳳鳴, 梁宗安；中華醫學會呼吸病學分會呼吸治療學組. 新型冠狀病毒肺炎患者呼吸機使用感控管理專家共識. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(2): 116-119. doi: 10.7507/1671-6205.202002021 Copy

1.	國家衛生健康委辦公廳國家中醫藥管理局辦公室《新型冠狀病毒感染的肺炎診療方案 (試行第五版)》.http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtmll.
2.	Lapinsky SE, Hawryluck L. ICU management of severe acute respiratory syndrome. Intensive Care Med, 2003, 29(6): 870-875.
3.	Caputo KM, Byrick R, Chapman MG, et al. Intubation of SARS patients: infection and perspectives of healthcare workers. Can J Anaesth, 2006, 53(2): 122-129.
4.	AARC Evidence-Based Clinical Practice Guidelines. Care of the ventilator circuit and its relation to ventilator-associated pneumonia. Respir Care, 2003, 48: 869-879.
5.	Han JN, Liu YP, Ma S, et al. Effects of decreasing the frequency of ventilator circuit changes to every 7 days on the rate of ventilator-associated pneumonia in a Beijing hospital. Respir Care, 2001, 46: 891-896.
6.	Kollef MH. The prevention of ventilator-associated pneumonia. N Engl J Med, 1999, 340: 627-634.
7.	Cook D, De Jonghe B, Brochard L, et al. The influence of airway management on ventilation associated pneumonia: Evidence from randomized trials. JAMA, 1998, 279: 781-787.
8.	Weber DJ, Rutala WA. Nosocomial infections associated with respiratory therapy. In: Mayhall CG. Hospital Epidemiology and Infection Control. 3rd edition. Baltimore: Williams & Wilkins, 1996, 748-758.
9.	Memish ZA, Oni GA, Djazmati W, et al. A randomized clinical trial to compare the effects of a heat and moisture exchanger with a heated humidifying system on the occurrence rate of ventilator-associated pneumonia. Am J infect Control, 2001, 29: 301-305.
10.	Daumal F, Colpart E, Manoury B, et al. Changing heat and moisture exchangers every 48 hours does not increase the incidence of nosocomial pneumonia. Infect Control Hosp Epidemiol, 1999, 20: 347-349.
11.	Davis K Jr, Evans SL, Campbell RS, et al. Prolonged use of heat and moisture exchangers does not affect device efficiency or frequency rate of nosocomial pneumonia. Crit Care Med, 2000, 28: 1412-1418.
12.	Klompas M, Branson R, Eichenwald EC, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol, 2014, 35(8): 915-936.
13.	Johnson KL, Kearney PA, Johnson SB, et al. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med, 1994, 22: 200-203.
14.	Deppe SA, Kelly JW, Thoi LL, et al. Incidence of colonization, nosocomial pneumonia, and mortality in critically ill patients using a Trach Care closed-suction system versus an open-suction system: prospective, randomised study. Crit Care Med, 1990, 18: 1389-1393.
15.	Johnson KL, Kearney PA, Johnson SB, et al. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med, 1994, 22: 200-203.
16.	Combes P, Fauvage B, Oleyer C. Nosocomial pneumonia in mechanically ventilated patients, a prospective randomized evaluation of the Stercath closed suctioning system. Intensive Care Med, 2000, 26: 878-882.
17.	Kollef MH, Prentice D, Shapiro SD, et al. Mechanical ventilation with or without daily changes of in-line suction catheters. Am J Respir Crit Care Med, 1997, 156: 466-472.
18.	Harris AD, Samore MH, Nafziger R, et al. A survey on handwashing practices and opinions of healthcare workers. J Hosp Infect, 2000, 45: 318-321.
19.	Pittet D, Mourouga P, Pernerger TV. Compliance with handwashing in a teaching hospital. Infection control program. Ann Intern Med, 1999, 130: 126-130.
20.	Trick WE, Vernon MO, Hayes RA, et al. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis, 2003, 36: 1383-1390.
21.	World Health Organization. Infection Prevention and Control of Epidemic-and Pandemic-Prone Acute Respiratory Infections in Health Care[D]. 2014.
22.	李國平, 盧平, 杜英榮, 等. 關于用于 SARS 病人呼吸機消毒問題的探討. 醫療裝備, 2003, 16(7): 14-15.
23.	重癥監護病房醫院感染預防與控制規范. 中國感染控制雜志,2017, 16(2): 191-194.
24.	陳學斌, 高敏, 安崢, 等. 呼吸機外表面消毒模式與院內感染的相關性分析. 中國醫學裝備, 2016, 13(7): 128-132.

1. 國家衛生健康委辦公廳國家中醫藥管理局辦公室《新型冠狀病毒感染的肺炎診療方案 (試行第五版)》.http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtmll.
2. Lapinsky SE, Hawryluck L. ICU management of severe acute respiratory syndrome. Intensive Care Med, 2003, 29(6): 870-875.
3. Caputo KM, Byrick R, Chapman MG, et al. Intubation of SARS patients: infection and perspectives of healthcare workers. Can J Anaesth, 2006, 53(2): 122-129.
4. AARC Evidence-Based Clinical Practice Guidelines. Care of the ventilator circuit and its relation to ventilator-associated pneumonia. Respir Care, 2003, 48: 869-879.
5. Han JN, Liu YP, Ma S, et al. Effects of decreasing the frequency of ventilator circuit changes to every 7 days on the rate of ventilator-associated pneumonia in a Beijing hospital. Respir Care, 2001, 46: 891-896.
6. Kollef MH. The prevention of ventilator-associated pneumonia. N Engl J Med, 1999, 340: 627-634.
7. Cook D, De Jonghe B, Brochard L, et al. The influence of airway management on ventilation associated pneumonia: Evidence from randomized trials. JAMA, 1998, 279: 781-787.
8. Weber DJ, Rutala WA. Nosocomial infections associated with respiratory therapy. In: Mayhall CG. Hospital Epidemiology and Infection Control. 3rd edition. Baltimore: Williams & Wilkins, 1996, 748-758.
9. Memish ZA, Oni GA, Djazmati W, et al. A randomized clinical trial to compare the effects of a heat and moisture exchanger with a heated humidifying system on the occurrence rate of ventilator-associated pneumonia. Am J infect Control, 2001, 29: 301-305.
10. Daumal F, Colpart E, Manoury B, et al. Changing heat and moisture exchangers every 48 hours does not increase the incidence of nosocomial pneumonia. Infect Control Hosp Epidemiol, 1999, 20: 347-349.
11. Davis K Jr, Evans SL, Campbell RS, et al. Prolonged use of heat and moisture exchangers does not affect device efficiency or frequency rate of nosocomial pneumonia. Crit Care Med, 2000, 28: 1412-1418.
12. Klompas M, Branson R, Eichenwald EC, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol, 2014, 35(8): 915-936.
13. Johnson KL, Kearney PA, Johnson SB, et al. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med, 1994, 22: 200-203.
14. Deppe SA, Kelly JW, Thoi LL, et al. Incidence of colonization, nosocomial pneumonia, and mortality in critically ill patients using a Trach Care closed-suction system versus an open-suction system: prospective, randomised study. Crit Care Med, 1990, 18: 1389-1393.
15. Johnson KL, Kearney PA, Johnson SB, et al. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med, 1994, 22: 200-203.
16. Combes P, Fauvage B, Oleyer C. Nosocomial pneumonia in mechanically ventilated patients, a prospective randomized evaluation of the Stercath closed suctioning system. Intensive Care Med, 2000, 26: 878-882.
17. Kollef MH, Prentice D, Shapiro SD, et al. Mechanical ventilation with or without daily changes of in-line suction catheters. Am J Respir Crit Care Med, 1997, 156: 466-472.
18. Harris AD, Samore MH, Nafziger R, et al. A survey on handwashing practices and opinions of healthcare workers. J Hosp Infect, 2000, 45: 318-321.
19. Pittet D, Mourouga P, Pernerger TV. Compliance with handwashing in a teaching hospital. Infection control program. Ann Intern Med, 1999, 130: 126-130.
20. Trick WE, Vernon MO, Hayes RA, et al. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis, 2003, 36: 1383-1390.
21. World Health Organization. Infection Prevention and Control of Epidemic-and Pandemic-Prone Acute Respiratory Infections in Health Care[D]. 2014.
22. 李國平, 盧平, 杜英榮, 等. 關于用于 SARS 病人呼吸機消毒問題的探討. 醫療裝備, 2003, 16(7): 14-15.
23. 重癥監護病房醫院感染預防與控制規范. 中國感染控制雜志,2017, 16(2): 191-194.
24. 陳學斌, 高敏, 安崢, 等. 呼吸機外表面消毒模式與院內感染的相關性分析. 中國醫學裝備, 2016, 13(7): 128-132.

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新型冠狀病毒肺炎患者呼吸機使用感控管理專家共識

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