staffing level a determinant of late-onset ventilator-associated pneumonia人员编制与机械通气相关肺炎晚发性的决定因素.pdfVIP

Available online /content/11/4/154 Commentary Staffing level: a determinant of late-onset ventilator-associated pneumonia Jeannie P Cimiotti University of Pennsylvania School of Nursing, Center for Health Outcomes and Policy Research, Philadelphia, Pennsylvania 19104-6096, USA Corresponding author: Jeannie P Cimiotti, jcimiott@ Published: 8 August 2007 Critical Care 2007, 11:154 (doi:10.1186/cc6085) This article is online at /content/11/4/154 © 2007 BioMed Central Ltd See related research by Hugonnet et al., /content/11/4/R80 Abstract measures, such as the presence or absence of mouth care A body of knowledge exists to suggest an association between [5,6], which is a potential risk factor for VAP. In addition, I am nurse staffing and adverse patient outcomes. Hugonnet and surprised that the authors did not include hand hygiene as a colleagues add further evidence by linking nurse staffing to late- risk factor of interest, because there is a well established link onset ventilator-associated pneumonia. Discussed are a number of between hand hygiene and health care associated infections, concerns surrounding the analytic component of this study, and one that the authors have worked with extensively [7,8]. including the construction of variables and the statistical models. The authors’ estimation that hospitals maintaining a nurse-to- patient ratio above 2.2 could decrease the risk of health care The authors painstakingly constructed a comprehensive risk associated infections is based on findings that are potentially adjustment model that includes, but is not