PREVENTION OF VENTILATION-ASSOCIATED PNEUMONIA IN CHILDREN UNDER TWO MONTHS OF LIFE
DOI:
https://doi.org/10.54890/.v5i5.482Abstract
Abstract. This article presents the results of the study of 139 newborn children who were on artificial lung ventilation (ALV) carried out on the basis of neonatology intensive care unit of the State Children's Clinical Hospital of Bishkek. The original modified method (patent KR №2227 dd 30.10.2020) of sterile taking of tracheal aspirate by vacuum collection without taking the endotracheal tube, traumatization and anesthesia is presented and the obtained data are discussed in comparison with taking tracheal aspirate by the traditional method. To prevent ventilator-associated pneumonia in newborns, irrigation of the oral and nasal mucosa with 0.05% chlorhexidine aqueous solution is suggested.
Keywords:
prevention, ventilator-associated pneumonia, newborn, premature, full-term, pathogens, diagnostics, chlorhexidine.References
1. Chang I., Schibler A. Ventilator Associated Pneumonia in Children. Paediatr Respir Rev. 2015 Sep 25;20:9-16. https://doi.org/10.1016/j.prrv.2015.09.005
2. Martin-Loeches I, Povoa P, Rodríguez A, Curcio D, Suarez D, Mira J-P et al. Incidence and prognosis of ventilator-associated tracheobronchitis (TAVeM): a multicentre, prospective, observational study. Lancet Respir Med. 2015;3(11):859-68. https://doi.org/10.1016/S2213-2600(15)00326-4
3. Венцелла Р. П., ред. Внутрибольничные инфекции. пер. с англ. М.: Медицина; 1990. 654 с.
4. Гельфанд Б.Р., Гологорский В.А., Лапшина И.Ю. Нозокомиальная инфекция в интенсивной терапии. Анестезиол. и реаниматол.1997;3:4-7.
5. Касихина С.А., Милева О.И., Морозова Е.Н. Госпитальные инфекции в неонатологии и принципы организации профилактических мероприятий в «проблемных» отделениях. Педиатрия. 2004;3:66–69.
6. Ковалева Е.П., Семина Н.А. Внутрибольничные инфекции в педиатрии. Эпидемиол. и инфекцион.бол. 2002;5:4-6.
7. Bassant SM, Sally K, Seham Awad ES. Mechanical ventilation practice in Egyptian pediatric intensive care units. Electron Physician. Letters. 2017;9(5):4370-4377. https://doi.org/10.19082/4370
8. Isabelle G, Romain G, Julia G, Sandrine J, Cécile V, Maryne D et al. Incidence and risk factors of ventilator-associated pneumonia in neonatal intensive care unit: a first French study. Minerva Anestesiol. Letters. 2018;84(7):829-835. https://doi.org/10.23736/S0375-9393.18.12296-6
9. Chadani O, Wosti D, Pandey B, Zhao Q. Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. JNMA J Nepal Med Assoc. 2017;56(208):461-8. PMID: 29453481.
10. Elias I, Pitsava G, Roilides E. Ventilator-associated pneumonia in neonates and children: a systematic analysis of diagnostic methods and prevention. Future Microbiologe. 2018;13:1431-1446. PMID: 30256161. https://doi.org/10.2217/fmb-2018-0108
11. Raimunda XA. Taminato M, Belasco A, Barbosa Longo MC, Kusahara DM, Fram D. Strategies for preventing ventilator-associated pneumonia: an integrative review. Revista Brasileira de Enfermagem. 2019;72(2):521-530. https://doi.org/10.1590/0034-7167-2018-0473
12. Oliveira J. Prevention of ventilator-associated pneumonia. Revista Portuguesa de Pneumologia. 2014;20(3):152-61. https://doi.org/10.1016/j.rppneu.2014.01.002
13. Gianluigi L. B. Prevention of ventilator-associated pneumonia. Current Opinion in Infectious Diseases. 2017 Apr;30(2):214-220. https://doi.org/10.1097/QCO.0000000000000358
14. Mirelle K. van der Ven A, Hak E, Joore H, Kaasjager K, Smet A. Oral Decontamination with Chlorhexidine Reduces the Incidence of Ventilator-associated Pneumonia. American Journal of Respiratory and Critical Care Medicine. 2006;173(12):1349-55. https://doi.org/10.1164/rccm.200505-820OC
15. Tantipong H. Morkchareonpong C, JaiyindeeS, Thamlikitkul V. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol. 2008 Feb;29(2):131-6. https://doi.org/10.1086/526438
16. Иманкулова А.С., Джумалиева Г.А., Маанаев Т.И., Боронбаева Э.К., Орозалиева Б.К., Кульжанова А.А. Управление качеством медицинской помощи в многопрофильном стационаре. Международный журнал прикладных и фундаментальных исследований. 2022;3:27-31.
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