求呼吸器相關肺炎英文paper翻譯

自己有先翻譯部分,但仍舊不太順利! 麻煩大大解析 謝謝! 不要只使用google翻譯複製貼上...希望至少順句!! 謝謝 有任何問題歡迎來信告知! 感恩~ In ventilated patients, the normal defense system of the body, including the cilia in the nose and protective mucus, are circumvented, allowing the patient’s mouth to be colonized with pathogenic bacteria such as Pseudomonas,... 顯示更多 自己有先翻譯部分,但仍舊不太順利!
麻煩大大解析 謝謝!
不要只使用google翻譯複製貼上...希望至少順句!! 謝謝
有任何問題歡迎來信告知! 感恩~
In ventilated patients, the normal defense system of the body, including the cilia in the nose and protective mucus, are circumvented, allowing the patient’s mouth to be colonized with pathogenic bacteria such as Pseudomonas, Acinetobacter, and Methicillin-resistant Staphylococcus aureus (MRSA) within 24 hours of admission to an ICU. Mechanically ventilated neurointensive care patients are at an increased risk for VAP due to factors such as decreased level of consciousness and inability to protect the airway.Neurologic patients with decreased level of consciousness or low Glasgow Coma Scale scores are prone to aspiration due to an unprotected airway and inability to swallow properly. Interventions for (ICP), such as raising the head of the bed, are a positive influence on prevention of VAP, whereas limited mobility because of ICP monitors, ventriculostomies, and disease processes such as spinal cord injury, can negatively affect VAP-prevention techniques.In addition, because it is difficult to temporarily stop sedation in neurologic patients who have increased ICP, the cessation of daily sedation cannot be used to prevent VAP in these patients. Other risk factors include gastric distension, presence of gastric or duodenal tubes, and trauma or chronic obstructive pulmonary disease.Meticulous mouth care is crucial for preventing VAP. Rincón-Ferrari and colleagues (2004) foundthat in head-injured patients, 40%–60% of the gram-negative bacilli found were due to endogenous lung colonization after aspiration of oropharyngeal secretions. Twenty percent to forty percent of these bacteria were Staphylococcus aureus, and more than half of the Staphylococcus aureus were methicillin-resistant. This type of staphylococcus is exogenous, usually originating from the hands.Studies have shown that patients can become colonized with pathogenic bacteria within 24 hours of admission to a critical care unit.
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