Krankenhaushygiene up2date , Thieme Verlag Heft 2-2024, Jahrgang 19) ISSN 1439-3514 Seite(n) 121 bis 136 DOI: 10.1055/a-2268-9988 CareLit-Dokument-Nr: 318600 |
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Nosokomiale Pneumonien zählen nach wie vor zu den häufigsten Infektionen, die im Krankenhaus erworben werden. Während für Beatmungs-assoziierte Pneumonien zahlreiche Studien mit evidenzbasierten Empfehlungen vorliegen, ist die Datenlage zu nichtbeatmeten Patienten mit nosokomialer Pneumonie bezüglich Präventionsmaßnahmen mit nachgewiesener Wirksamkeit spärlich. Kernaussagen Die konsequente Einhaltung der Basishygienemaßnahmen, sowie der fachgerechte Umgang mit Beatmungszubehör und eine aseptische Technik beim Absaugen sind zur Vermeidung exogener Infektionen unerlässlich. Bewährt hat sich die Einführung von stationsspezifisch ausgewählten, evidenzbasierten infektionspräventiven Bündeln, die aktiv etabliert und im laufenden Prozess unter Zuhilfenahme der Surveillance-Ergebnisse reevaluiert und ggf. modifiziert werden sollen. Die Anwendung von Chlorhexidin zur Mundpflege bei beatmeten Patienten wird nicht mehr empfohlen. 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