An Evidence-Based Oral Care Protocol to Decrease Ventilator-Associated Pneumonia

Cuccio, Lisa; Cerullo, Ellen; Paradis, Heidi; Padula, Cynthia; Rivet, Cindy; Steeves, Susan; Lynch, Judy

doi:10.1097/dcc.0b013e3182619b6f

Cited by 19 publications

(21 citation statements)

References 18 publications

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“…The UCT trial (Cuccio et al., 2012) rated as of high quality in terms of its conduct (but likewise a design inherently prone to bias) tested an oral care protocol including chlorhexidine rinses and found effects in favour of the intervention on ventilator‐associated pneumonia rates.…”

Section: Resultsmentioning

confidence: 99%

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Richards

Hilli

Pentecost

et al. 2018

Journal of Clinical Nursing

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Aims and objectivesTo determine the effects of nursing interventions for people's nutrition, elimination, mobility and hygiene needs.BackgroundPatient experience of health care is sensitive to nursing quality. A refocus on fundamental nursing care is undermined by lack of evidence of effectiveness for interventions in core areas such as elimination, nutrition, mobility and hygiene.DesignSystematic review.MethodsWe searched for and included experimental studies on interventions by professionally qualified and unregistered nurses that addressed participants' nutrition, elimination, mobility and hygiene needs. We extracted data on scope, quality and results of studies followed by descriptive narrative synthesis of included study outcomes using a novel form of harvest plots.ResultsWe included 149 studies, 35 nutrition, 56 elimination, 16 mobility, 39 hygiene and three addressing two or more areas simultaneously (67 randomised controlled trials, 32 non‐randomised controlled trials and 50 uncontrolled trials). Studies into interventions on participant self‐management of nutrition (n = 25), oral health (n = 26), catheter care (n = 23) and self‐management of elimination (n = 21) were the most prevalent. Most studies focussed their outcomes on observational or physiological measures, with very few collecting patient‐reported outcomes, such as quality of life, experience or self‐reported symptoms. All but 13 studies were of low quality and at significant risk of bias. The majority of studies did not define primary outcomes, included multiple measures of identical concepts, used inappropriate analyses and did not conform to standard reporting quality criteria.ConclusionsThe current evidence for fundamental nursing care interventions is sparse, of poor quality and unfit to provide evidence‐based guidance to practising nurses.Relevance to clinical practiceResearchers in nursing internationally should now undertake a programme of work to produce evidence for clinical practice in the fundamentals of care that is reliable, replicable and robust.

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Section: Resultsmentioning

confidence: 99%

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Richards

Hilli

Pentecost

et al. 2018

Journal of Clinical Nursing

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“…4,30,46,47 For instance; Cuccio at al. (2012), in their study, mentioned that oral care with chlorhexidine in every 6 hours prevents VAP development.…”

Section: Tools Used For Oral Examinationmentioning

confidence: 99%

“…5 Because, oropharyngeal invasion of aspirated microorganisms means disease development. [6][7][8] VAP is a common type of nosocomial infections prolonging the hospital stay duration, increasing costs and mortality in intensive care patients on ventilator. [9][10] In United States, VAP is ranked second among nosocomial infections.…”

Section: Introductionmentioning

confidence: 99%

Oral care in patients on mechanical ventilation in intensive care unit: literature review

Atay

Karabacak²

2014

Int J Res Med Sci

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“…46,47 Suctioning devices may need to be changed more often if they become clogged or coated with secretions. All containers should be dated.…”

Section: Subglottic Suctioning Removes Bacteria-laden Secretionsmentioning

confidence: 99%

Mouth Care to Reduce Ventilator-Associated Pneumonia

Booker

Murff

Kitko

et al. 2013

AJN, American Journal of Nursing

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Despite the well-established association between good oral hygiene and the prevention of ventilator-associated pneumonia (VAP), the importance of mouth care in infection control is seldom recognized. The authors discuss the pathophysiology of VAP and why oral care is crucial to its prevention. They also provide an evidence-based, step-by-step guide to providing optimal oral care for intubated patients.

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An Evidence-Based Oral Care Protocol to Decrease Ventilator-Associated Pneumonia

Cited by 19 publications

References 18 publications

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Oral care in patients on mechanical ventilation in intensive care unit: literature review

Mouth Care to Reduce Ventilator-Associated Pneumonia

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