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Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia.
Oral Health Prev Dent. 2020 Apr 01; 18(2):331-336.OH

Abstract

PURPOSE

This study aimed to evaluate the impact of oral care and use of chlorhexidine gluconate on the prevention of ventilator-associated pneumonia (VAP) in patients admitted to an intensive care unit (ICU).

MATERIALS AND METHODS

An evaluation was performed on 229 patients admitted to ICU in 2012 (before implementation of oral care protocol) and 329 in 2013 (after the protocol). Oral care was based on the removal of secretions from the oral cavity with 0.12% chlorhexidine solution for brushing and sterile gauze for cleaning before a new aspiration. The cases of VAP were evaluated by observing respiratory signs, radiological changes, and culture and laboratory results. The following data were also analysed: gender, length hospital of stay, mechanical ventilation, use of antibiotics and aetiological agent of infection.

RESULTS

There was a tendency towards lower risk of development of VAP after application of oral care protocol (odds ratio = 0.64-95% CI: 0.39-1.04). There was also a reduction in the incidence of early pneumonia (up to 72 h of hospitalisation). With regard to the aetiological agent of infections, although Gram-negative bacteria predominated in the two periods studied, there was a decrease in the cases of Staphylococcus aureus infection.

CONCLUSION

Oral care protocol has statistically significantly reduced the risk of developing early VAP in ICU patients, thus demonstrating the importance of multidisciplinary teamwork for hospitalised patients.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32618456

Citation

Galhardo, Luciana F., et al. "Impact of Oral Care and Antisepsis On the Prevalence of Ventilator-Associated Pneumonia." Oral Health & Preventive Dentistry, vol. 18, no. 2, 2020, pp. 331-336.
Galhardo LF, Ruivo GF, Santos FO, et al. Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia. Oral Health Prev Dent. 2020;18(2):331-336.
Galhardo, L. F., Ruivo, G. F., Santos, F. O., Ferreira, T. T., Santos, J., L Eão, M. V., & Pallos, D. (2020). Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia. Oral Health & Preventive Dentistry, 18(2), 331-336. https://doi.org/10.3290/j.ohpd.a44443
Galhardo LF, et al. Impact of Oral Care and Antisepsis On the Prevalence of Ventilator-Associated Pneumonia. Oral Health Prev Dent. 2020 Apr 1;18(2):331-336. PubMed PMID: 32618456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia. AU - Galhardo,Luciana F, AU - Ruivo,Gilson F, AU - Santos,Fernanda O, AU - Ferreira,Tamires T, AU - Santos,Juliana, AU - L Eão,Mariella Vp, AU - Pallos,Debora, Y1 - 2020/04/01/ PY - 2020/7/4/entrez PY - 2020/7/4/pubmed PY - 2020/7/8/medline KW - chlorhexidine KW - mechanical ventilation KW - oral care KW - pneumonia SP - 331 EP - 336 JF - Oral health & preventive dentistry JO - Oral Health Prev Dent VL - 18 IS - 2 N2 - PURPOSE: This study aimed to evaluate the impact of oral care and use of chlorhexidine gluconate on the prevention of ventilator-associated pneumonia (VAP) in patients admitted to an intensive care unit (ICU). MATERIALS AND METHODS: An evaluation was performed on 229 patients admitted to ICU in 2012 (before implementation of oral care protocol) and 329 in 2013 (after the protocol). Oral care was based on the removal of secretions from the oral cavity with 0.12% chlorhexidine solution for brushing and sterile gauze for cleaning before a new aspiration. The cases of VAP were evaluated by observing respiratory signs, radiological changes, and culture and laboratory results. The following data were also analysed: gender, length hospital of stay, mechanical ventilation, use of antibiotics and aetiological agent of infection. RESULTS: There was a tendency towards lower risk of development of VAP after application of oral care protocol (odds ratio = 0.64-95% CI: 0.39-1.04). There was also a reduction in the incidence of early pneumonia (up to 72 h of hospitalisation). With regard to the aetiological agent of infections, although Gram-negative bacteria predominated in the two periods studied, there was a decrease in the cases of Staphylococcus aureus infection. CONCLUSION: Oral care protocol has statistically significantly reduced the risk of developing early VAP in ICU patients, thus demonstrating the importance of multidisciplinary teamwork for hospitalised patients. SN - 1757-9996 UR - https://www.unboundmedicine.com/medline/citation/32618456/Impact_of_Oral_Care_and_Antisepsis_on_the_Prevalence_of_Ventilator-Associated_Pneumonia L2 - https://ohpd.quintessenz.de/index.php?doc=abstract&abstractID=44443/ DB - PRIME DP - Unbound Medicine ER -