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Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz

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01.11.2013 | Bekanntmachungen - Amtliche Mitteilungen

Prävention der nosokomialen beatmungsassoziierten Pneumonie

Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut

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Erschienen in: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz | Ausgabe 11/2013

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Auszug

Einleitung und Hintergrund

1.1

Zielgruppe der Empfehlung

1.2

Bezug zu anderen Empfehlungen

1.3

Risikofaktoren für die Entstehung beatmungsassoziierter Pneumonien

Basismaßnahmen

2.1

Händehygiene

2.2

Arbeitskleidung auf Intensivstationen (Bereichskleidung) und persönliche Schutzausrüstung

2.3

Schulung der Mitarbeiter

2.4

Personelle Besetzung

2.5

Surveillance

2.5.1

Mikrobiologisches Monitoring zur Therapiesteuerung

2.5.2

Epidemiologische Surveillance

Apparativ-technische Maßnahmen

3.1

Beatmungsschläuche

3.2

Aktive und passive Atemgasbefeuchtung

3.3

Endotrachealtuben

3.3.1

Material von Endotrachealtuben (Silberbeschichtung)

3.3.2

Cuffdruck und subglottische Absaugung

3.3.3

Besonderheiten in der Pädiatrie

3.4

Endotracheale Absaugung

3.5

Medikamentenvernebler im Beatmungssystem

Patientenbezogene Maßnahmen

4.1

Endotracheale Intubation: orotracheal versus nasotracheal

4.2

Frühe versus späte Tracheotomie

4.3

Nicht-invasive Beatmung (NIV)

4.4

Lagerungsmaßnahmen

4.5

Hygienische Mundpflege

4.6

Enterale Ernährung

4.7

Probiotika

Pharmakologische Maßnahmen

5.1

Selektive Darmdekontamination (SDD)/selektive orale Dekontamination (SOD)

5.2

Stressblutungsprophylaxe

5.3

Sedierung

Maßnahmenbündel zur Prävention beatmungsassoziierter Pneumonien

Beispiele für gängige Bündel zur Prävention der Beatmungspneumonie

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Titel: Prävention der nosokomialen beatmungsassoziierten Pneumonie
Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut
verfasst von: -
Publikationsdatum: 01.11.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz / Ausgabe 11/2013
Print ISSN: 1436-9990
Elektronische ISSN: 1437-1588
DOI: https://doi.org/10.1007/s00103-013-1846-7

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