Objective This a cross-sectional study to evaluate the association between oral health findings and ventilator-associated pneumonia (VAP) among critically ill patients in intensive care units (ICU). Material and methods Data were collected from medical records, and a detailed oral physical examination was performed on 663 critically ill patients on mechanical ventilation. Data were statistically analysed using univariate and logistic regression models relating the development of VAP with the oral findings. Results At oral physical examination, the most frequent findings were tooth loss (568-85.67%), coated tongue (422-63.65%) and oral bleeding (192-28.96%). Patients with a coated tongue or oral bleeding on the first day of ICU hospitalization developed more VAP than did patients without these conditions (20.14 vs 13.69%, p = 0.02; 23.44 vs 15.50%, p = 0.01, respectively). In the logistic regression, a coated tongue and oral bleeding were considered independent risk factors for VAP development (OR = 1.61 (1.03-2.51) and OR = 1.69 (1.08-2.66), respectively). Conclusions The presence of a coated tongue and oral bleeding in ICU admission could be considered markers for the development of VAP. Clinical relevance The results of this paper reinforce the importance of proper maintenance of oral hygiene before intubation, which may lead to a decrease in the incidence of VAP in the ICU.
Objective: This a cross-sectional study to evaluate the association between oral health findings and ventilator-associated pneumonia (VAP) among critically ill patients in intensive care units (ICU). Material and Methods: Data were collected from medical records, and a detailed oral physical examination was performed on 663 critically ill patients on mechanical ventilation. Data were statistically analysed using univariate and logistic regression models relating the development of VAP with the oral findings. Results: At oral physical examination, the most frequent findings were tooth loss (568 - 85.67%), coated tongue (422 - 63.65%) and oral bleeding (192 - 28.96%). Patients with a coated tongue or oral bleeding on the first day of ICU hospitalization developed more VAP than did patients without these conditions (20.14% vs 13.69%: p=0.02; 23.44% vs 15.50%: p=0.01, respectively). In the logistic regression, a coated tongue and oral bleeding were considered independent risk factors for VAP development [OR=1.60 (1.02-2.47) and OR=1.59 (1.05 – 2.44), respectively]. Conclusions: The presence of a coated tongue and oral bleeding in ICU admission could be considered markers for the development of VAP. Clinical relevance: The results of this paper reinforces the importance of proper maintenance of oral hygiene before intubation, which may lead to a decrease in the incidence of VAP in the ICU. This is particularly important in the COVID-19 current scenario, where more people are expected to need mechanical ventilation, consequently increasing cases of VAP.
Mucormycosis is a potentially serious and quite rare fungal infection, caused by the Saprophytic fungus, of the order Mucorales, Absidia, Mucor, Rhizomucor and Rhizopus. These agents are commonly isolated from decomposing soil and plant material and remain dormant in healthy individuals in the respiratory and digestive tubes when inhaling or ingesting contaminated food. It becomes pathogenic when the individual gets immunocompromised and debilitated, progressing to an aggressive and often lethal clinical picture, which requires accurate diagnosis and prompt treatment. There are reports in the literature of its gastrointestinal, pulmonary, cutaneous, rhino-orbital-cerebral, endocardial and osteoarticular forms. Regardless of its location, treatment necessarily includes early clinical diagnosis, stabilization of systemic comorbidities and aggressive drug and surgical therapy, resulting in a mortality rate of up to 40% of cases. It is a relevant topic in tertiary care hospitals in terms of contamination, being a matter of concern if present in premature newborns and burn therapy units. The purpose of this article is to report a case of rhino-orbital-cerebral Mucormycosis acquired in the community by a decompensated diabetic patient who evolved with invasion of the hard palate, paranasal sinuses, orbits and cavernous sinus, spreading to the central nervous system and leading to thrombosis the cavernous sinus.
Trauma to the jaw can lead to fracture of the mandibular condyle. Prevalence in children is low and treatment should focus on possible long-term effects on facial bone and soft tissue growth. Trauma can result in dysfunction, facial asymmetry, mandibular retraction, dysfunction and stiffness of the temporomandibular joint. Clinical examination and imaging tests are essential to obtain an accurate diagnosis and an effective treatment to avoid possible complications. Treatment can be surgical or non-surgical, but non-surgical treatment is the method of choice in most cases. The aim of this study is to report a case of mandibular condylar fracture in a pediatric patient who underwent conservative and functional care who, with adequate monitoring by the Maxillofacial Surgery and Traumatology team and family, showed complete remodeling of the fractured bone and total recovery of the dental occlusion. Treatment in pediatric patients through conservative management allows an adequate range of mandibular movement and remodeling at the fracture site, but patient and family adherence to treatment is very important to obtain good results.
Editorial Caros(as) leitores(as) O Congresso Odontológico Londrinese (COL) é um evento científico realizado pelos graduandos do 5º ano do curso de Odontologia da Universidade Estadual de Londrina (UEL), que tem como objetivo contribuir cientificamente para a formação dos acadêmicos e profissionais da área. Na sua 9ª edição, a comissão organizadora contou com participação do professor Dr. Hedelson Odenir Iecher Borges como presidente e professores de todas as áreas da Odontologia da UEL, a fim de consolidar uma interação de toda a comunidade acadêmica. O 3º COL e 9º COUEL foi realizado no período de 19 a 22 de maio de 2021 em um formato 100% online. A grade cientifíca foi composta por palestras ministradas por professores e profissionais de reconhecida importância nacional e internacional, além de apresentações de trabalhos. Comissão Organizadora 3º Congresso Odontológico Londrinense – 9º COUEL/Edição Online - UEL – Universidade Estadual de Londrina - 2021
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