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Ventilator – associated
    pneumonia)
•

•

•


•
•




           4.7-34.4

    1000
•

              17 – 18.8
       1000
                    2542

                  17
    1000
•
    Ventilator – associated pneumonia : VAP)

                   -                     VAP
    (
Agent Factor             Host Factor   Environment
                                       factor
•                        •             •
                         •
  Escherichia coli ,
  Klebsiella,Pneumoniae, •
  Pseudomonas            •
  aerhginosa                           •
  ,Stenotrphomonas           -         •          IC
  maltophilia                -
  ,Acinetobacter                       •
  banmannii                  -             ward
                         •
•                        •

    S.areus
Host Agent
Environment

A=Agent

H=Host
E=Environment
•                  Host




            Host
    Agent


                                 IC
                          ward
Web of causation Ventilator –
   associated pneumonia
-



                               Escherichia
                              coli, Klebsiella
                          pneumonia, Pseudom
 -                                  onas
                          aeruginosa,Stenotroph
 -        IC                     omonas
                          maltophilia, Acinetoba
                                    cter
 -
 ward (
                                     S.areus




Ventilator – associated pneumonia)
Web of causation Ventilator –
       associated pneumonia
•         Host , Agent ,Environment
             Host
Web of causation Ventilator – associated
pneumonia
• Environment
                                   VAP


        IC                           word




  VAP
                VAP
Web of causation Ventilator – associated
pneumonia
• Agent
                escherichai coli, Klebsella
  pnenmonia,Pseudomonas aeruginosa
  ,Stenotrophomonas maltophilia,Acinetobacter
                                            S.arens
Stage of
susceptibility)

                      Stage of
                  preclinical
                   disease)



                         Stage
                   of clinical
                   disease)


   Stage of
  disability)
Stage of
susceptibility




                            cilia
•                             Stage of
    preclinical disease

                          symptom)
•                   Stage of clinical disease




    Infiltration)
•               Stage of disability




    exudates)
•                 Stage of
    disability)
•

                                              Hospital
    – wide Surveillance

                                          Proiority
    directed Surveillance
•                           Hospital – wide
    Surveillance
•   Priority directed Surveillance
•
                           Verify diagnosis
    –             Clinic
    –
    –
                                    Verify the existence
of en epidemic)
Rapid evaluation of
epidemiologic potentialities)

                    Common experience)


                    Collection data)

                     Analysis data)
Information of hypothesis)




        Testing hypothesis)



–

–
Manage of epidemic


   –
   –

   –
                   Report of the
investigation)
-




     Aseptic technique)
5.
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โรคปอดอักเสบจากการติดเชื้อใน

  • 3. 4.7-34.4 1000
  • 4. 17 – 18.8 1000 2542 17 1000
  • 5. Ventilator – associated pneumonia : VAP) - VAP (
  • 6. Agent Factor Host Factor Environment factor • • • • Escherichia coli , Klebsiella,Pneumoniae, • Pseudomonas • aerhginosa • ,Stenotrphomonas - • IC maltophilia - ,Acinetobacter • banmannii - ward • • • S.areus
  • 8. Host Host Agent IC ward
  • 9. Web of causation Ventilator – associated pneumonia
  • 10. - Escherichia coli, Klebsiella pneumonia, Pseudom - onas aeruginosa,Stenotroph - IC omonas maltophilia, Acinetoba cter - ward ( S.areus Ventilator – associated pneumonia)
  • 11. Web of causation Ventilator – associated pneumonia • Host , Agent ,Environment Host
  • 12. Web of causation Ventilator – associated pneumonia • Environment VAP IC word VAP VAP
  • 13. Web of causation Ventilator – associated pneumonia • Agent escherichai coli, Klebsella pnenmonia,Pseudomonas aeruginosa ,Stenotrophomonas maltophilia,Acinetobacter S.arens
  • 14. Stage of susceptibility) Stage of preclinical disease) Stage of clinical disease) Stage of disability)
  • 16. Stage of preclinical disease symptom)
  • 17. Stage of clinical disease Infiltration)
  • 18. Stage of disability exudates)
  • 19. Stage of disability)
  • 20. Hospital – wide Surveillance Proiority directed Surveillance • Hospital – wide Surveillance
  • 21. Priority directed Surveillance
  • 22. Verify diagnosis – Clinic – – Verify the existence of en epidemic)
  • 23. Rapid evaluation of epidemiologic potentialities) Common experience) Collection data) Analysis data)
  • 24. Information of hypothesis) Testing hypothesis) – –
  • 25. Manage of epidemic – – – Report of the investigation)
  • 26. - Aseptic technique) 5.