关键词: 围手术期肺炎, 医院获得性肺炎

Abstract:

Prevention and management of perioperative pneumonia          DU Bin. Department of Medical ICU, Peking Union Medical College Hospital, Beijing 100730，China
Abstract    Perioperative pneumonia is a common and severe complication in critically ill surgical patients. In recent years，Center for Disease Control and Prevention of the United State modified the surveillance definition of hospital-acquired pneumonia，especially ventilator-associated pneumonia，to improve the accuracy of surveillance system. The most common prevention measures for perioperative pneumonia include head of bed elevation (to minimize aspiration of gastric content)，oral care with chlorhexidine (to minimize oropharyngeal bacterial colonization)，and selective decontamination of the digestive tract. Analysis of specific risk factors，or routine surveillance culture of lower respiratory tract specimen might improve the appropriateness of initial empiric antibiotics. Shorter duration of antibiotic treatment helps to reduce antimicrobial resistance and/or side effect of antimicrobials.

Key words: perioperative pneumonia, hospital-acquired pneumonia