Beyond comfort: Oral hygiene as a critical nursing activity in the intensive care unit

Berry, Andrea; Davidson, Patricia M.

doi:10.1016/j.iccn.2006.04.003

Cited by 107 publications

(139 citation statements)

References 54 publications

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“…In our study, all treatments were performed twice a day in all children for several reasons, including better compliance with the protocol, lack of definitive evidence to determine the most appropriate method of oral hygiene, and lack of knowledge about the effects of chlorhexidine in young children. 32,33 sidered to be the only effective means to remove dental plaque, but toothbrushing is not widespread in orally intubated children. To the best of our knowledge, no investigators have evaluated the effect of oral care with pharmacological and mechanical interventions in critically ill children.…”

Section: Chlorhexidinementioning

confidence: 99%

Oral Care Interventions and Oropharyngeal Colonization in Children Receiving Mechanical Ventilation

Kusahara

Carvalho

Núñez

et al. 2009

American Journal of Critical Care

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Background Recent progress in identification of oral microorganisms has shown that the oropharynx can be a site of origin for dissemination of pathogenic organisms to distant body sites, such as the lungs. Objective To compare the oropharyngeal microbiological profile, duration of mechanical ventilation, and length of stay in the intensive care unit of children receiving mechanical ven ti lation who had pharmacological or nonpharmacological oral care. Methods A randomized and controlled study was performed in a pediatric intensive unit in São Paulo, Brazil. A total of 56 children were randomly assigned to an experimental group (n = 27, 48%) that received oral care with use of 0.12% chlorhexidine digluconate or a control group (n = 29, 52%) that received oral care without an antiseptic. Oropharyngeal secretions were collected and cultured on days 0, 2, and 4, and at discharge. Results The 2 groups had similar demographic characteristics, preexisting underlying diseases, and pharmacological, nutritional, and ventilatory support. Gram-negative bacteria were the predominant pathogens: Acinetobacter baumannii, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Enterobacter species. The 2 groups did not differ significantly in the colonization of normal (P = .72) or pathogenic (P = .62) flora, in the duration of mechanical ventilation (P = .67), or in length of stay in the intensive care (P = . Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the incidence of ventilator-associated pneumonia in the pediatric intensive care unit (PICU) patient population.2. Identify microorganisms that commonly colonize the oropharynx of PICU patients.3. Recognize the impact of an oral care routine using chlorhexidine on a PICU study group.

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Section: Chlorhexidinementioning

confidence: 99%

Oral Care Interventions and Oropharyngeal Colonization in Children Receiving Mechanical Ventilation

Kusahara

Carvalho

Núñez

et al. 2009

American Journal of Critical Care

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“…Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi. Journal of Human Sciences, 14(4), 4507-4519. doi:10.14687/jhs.v14i4.4948 4516 Berry & Davidson 2006;Schleder, Stott & Lylod 2002;Yao et al 2011). Çalışmanın sakşınlı diş fırçasının dişlerde plak oluşumunu azaltmasına ilişkin sonuçlarının literatürü destekler nitelikte olduğu görülmektedir.…”

Section: Discussionunclassified

“…Mekanik ventilatöre bağlı hastalarda, ağız mukozasının bütünlüğünü sağlayabilmek, ağızda oluşabilecek plakları ortadan kaldırabilmek ve ağızda gelişebilecek sorunları önlemek amacıyla ağız bakımı verilir (Berry & Davidson 2006;Rello et al 2007). Mekanik ventilatöre bağlı hastalarda, düzenli ağız bakımı verilmesi ve ağız içinin günlük olarak değerlendirilmesi önemlidir.…”

Section: Introductionunclassified

Effects of oral care provided with three different tools in patients receiving mechanical ventilation<p>Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi

Özveren

Uçar

2017

HumanSciences

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Aim: This study was conducted to investigate the effects of oral care provided suction toothbrush, suction sponge stick and sponge stick in patients receiving mechanical ventilation. Material and method:The study was conducted as a quasi-experimental study. Thirty patients who were over 18 years of age and receiving mechanical ventilation comprised the study sample. The patients who met the inclusion criteria were divided into three groups: the suction toothbrush group, the suction sponge stick group and the sponge stick group. The patients in the three groups were provided oral care by the researcher twice a day at 12-hour intervals for 5 days. To collect the data, the socio-demographic characteristics form, the patient follow-up form, the Oral Assessment Follow-up Form and the microbiological follow-up form were used.

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“…Although inconsistent application of national guidelines has been reported, education and training of staff has reported to be an effective strategy to improve oral care (De Visschere et al, 2015;Ganz et al, 2013;Goss et al, 2011). Further attention is needed to address the perceived barriers to oral care including lack of equipment, nurses' perception of the importance of oral care, and techniques to minimize patient discomfort during oral care (Berry & Davidson, 2006;De Visschere et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Recent surveys of nurses and nursing assistants indicate that mouth care is often overlooked. One barrier for oral care is that many patients are assumed to be able to perform oral care independently once no longer intubated (Berry & Davidson, 2006;De Visschere et al, 2015). In addition, there is little published evidence about the impact of oral care on patient outcomes following extubation.…”

Section: Background and Significancementioning

confidence: 99%

Outcomes of an Oral Care Protocol in Postmechanically Ventilated Patients

Chipps

Carr

Kearney

et al. 2016

Worldviews Ev Based Nurs

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Beyond comfort: Oral hygiene as a critical nursing activity in the intensive care unit

Cited by 107 publications

References 54 publications

Oral Care Interventions and Oropharyngeal Colonization in Children Receiving Mechanical Ventilation

Oral Care Interventions and Oropharyngeal Colonization in Children Receiving Mechanical Ventilation

Effects of oral care provided with three different tools in patients receiving mechanical ventilation<p>Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi

Outcomes of an Oral Care Protocol in Postmechanically Ventilated Patients

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