2011HPSC 爱尔兰成人呼吸机相关性肺炎预防指南
2011HPSC Guidelines for the prevention of ventilator associated pneumonia in adults in Ireland
2011-02-01
The Strategy for the Control of Antimicrobial Resistance in Ireland (SARI) national committee established a working group to produce national guidelines on the prevention of ventilator-associated pneumonia. Nominations were invited from relevant professional bodies. Membership of the working group is listed in Appendix 1. The committee first met in January 2009 and agreed terms of reference. A draft document was sent for consultation in June 2010 to a range of professional groups (Appendix 2).Several international evidence-based guidelines for prevention of nosocomial pneumonia have been published (BTS, ATS, Canadian, IDSA/SHEA). The terms of reference of the working group were to review these existing guidelines, update where new evidence was available and produce a single guideline for prevention of VAP in adults for use by Irish healthcare professionals working primarily in the acute care sector. However, most of the recommendations for prevention of VAP are applicable to mechanically ventilated patients based in the community.This document represents the expert opinion of the working group following a literature review and consultative process. It should be acknowledged that no attempt was made to grade the quality of the evidence that was used to develop these recommendations. This document is aimed at healthcare professionals and we would encourage the engagement of local expertise in the application of these guidelines. While we accept that some aspects of the recommendations may be difficult to implement initially due to a lack of resources or insufficient personnel, we believe that these guidelines summarise best available evidence. Where there are difficulties with implementation of theguidelines, these should be highlighted locally and to the Health Services Executive (HSE) and the Department of Health and Children (DoHC) so that measures are taken by the HSE and the DoHC to ensure implementation, including the provision of appropriate resources and personnel.The working group recommends that these guidelines are reviewed and updated in 3-5 years.
