Особенности профилактики нозокомиальной пневмонии у больных с острым нарушением мозгового кровообращения

Клиническая Микробиология и Антимикробная Химиотерапия. 2013; 15(2):95-105

​ Зверьков А.В., Зузова А.П.
нарушение мозгового кровообращения нозокомиальная пневмония профилактика гигиена полости рта
Раздел
Болезни и возбудители
Тип
Журнальная статья
Публикация
Клиническая Микробиология и Антимикробная Химиотерапия. 2013; 15(2):95-105

Аннотация

Нозокомиальная пневмония (НП) — непреходящая проблема многопрофильных стационаров, особенно отделений реанимации и интенсивной терапии (ОРИТ), в которых инвазивные методы диагностики и терапии, полипрагмазия, сложные условия ухода способствуют появлению потенциально опасных очагов колонизации нозокомиальной флоры. В профильных отделениях важную роль в профилактике НП могут играть особенности патологии, тактика ведения пациентов и ухода за ними, возможность участия самого пациента. Примерно в одном из десяти случаев смерть от пневмонии может быть предотвращена путём улучшения гигиены полости рта. Идентификация пациентов с инсультом по степени риска возникновения НП и сравнительная оценка эффективности методов обработки полости рта может улучшить профилактику у этой категории пациентов. В статье представлен обзор современных данных по возможностям и перспективам профилактики НП у пациентов с острыми нарушениями мозгового кровообращения.

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