Does an oral care protocol reduce VAP in patients with a tracheostomy?

Conley, Patricia; McKinsey, David S.; Graff, Jason; Ramsey, Anthony R.

doi:10.1097/01.nurse.0000428709.81378.7c

Cited by 14 publications

(11 citation statements)

References 22 publications

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“…5 This highlights the importance of oral hygiene protocols in ICU environments. 2,5,10 In this context, a recent study 19 highlighted the importance of brushing with toothpaste and applying chlorhexidine 0.12% solution; this protocol may represent an effective method to reduce associated pneumonia among patients with mechanical ventilation and tracheostomies.…”

Section: Discussionmentioning

confidence: 99%

Oral Health of Patients Hospitalized in the Intensive Care Unit

Jl¹,

Gd²,

Ga³

et al. 2016

The Journal of Contemporary Dental Practice

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Aim: Oral hygiene technique is an important factor in maintaining the health and comfort of hospitalized patients given the frequent presence of oral biofilm and pathogens brought on by mouth breathing. This is an important practice to assist patients in intensive care, in particular those who are intubated and under mechanical ventilation because the realization of oral hygiene reduces the patient's risk of complications and length of hospitalization. The objective of this research was to evaluate the oral health condition of patients hospitalized in an intensive care unit (ICU) and to clarify the importance of protocol standardization involving these patients' buccal hygiene. Materials and methods: In this study, the sample consisted of 45 patients admitted to an ICU who were evaluated in relation to the oral biofilm score index. Results: The results indicated that there was no significant difference in the biofilm score associated with the genre (p = 0.091), age group (p = 0.549), or teething profile (p = 0.207). However, the biofilm score was greater in partial and fully edentulous patients when compared with dentulous patients. Conclusion: Based on these results, it is recommended that care providers in ICUs complete the relevant oral health care training programs. Clinical significance: When in the ICU, suitable dental conduct following a protocol of prevention of oral biofilm can lead to earlier diagnosis and can prevent the spread of pathogenic microorganisms, particularly those that are systemic in patients with low immunity.

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Section: Discussionmentioning

confidence: 99%

Oral Health of Patients Hospitalized in the Intensive Care Unit

Jl¹,

Gd²,

Ga³

et al. 2016

The Journal of Contemporary Dental Practice

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show abstract

“…Critical care nurses play a crucial role in maintaining and assessing oral health among invasively ventilated, critically ill patients. Comprehensive oral care, using either chlorhexidine oral rinse or gel and toothbrush, together with preventing microaspiration of oropharyngeal secretions may reduce the risk of developing ventilator‐associated pneumonia (VAP) in these patients (AACN Practice Alert, ; Conley et al , ; Hillier et al , ).…”

Section: Introductionmentioning

confidence: 99%

Effects of simulation education on oral care practices – a randomized controlled trial

Jansson

Syrjälä

Ohtonen

et al. 2017

Nursing in Critical Care

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“… 1 , 9 , 20 - 22 The recommended frequency of performing oral care also varies: every 2 hours, 4 hours, 8 hours or 12 hours. 9 , 13 , 19 , 23 - 25 The literature did not confirm which was better for reducing the risk of VAP. Various surveys of ICUs found in the literature from the USA, Europe and the UK concluded that evidence-based oral care practices could reduce the incidence of VAP in patients.…”

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confidence: 96%

Nurses’ perception and attitudes towards oral care practices for mechanically ventilated patients

Alja'afreh

Mosleh

Habashneh

2018

SMJ

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Objectives:To explore the perception and attitudes of intensive care unit (ICU) nurses towards oral care practice for mechanically ventilated (MV) patients.Method:A descriptive cross-sectional design was used in this study. A convenience sample of 96 ICU nurses completed a questionnaire on their perception and attitudes towards oral care. The study setting was 3 representative Jordanian hospitals in Al-Karak and the capital, Amman, over a 6-month period between February and September 2016.Results:Ninety-six nurses participated in the study. The response rate was 76.8%. The results revealed that 65% only follow a specific oral care protocol. Nurses did not adhere to minimal standards. Although nurses’ attitude towards oral care was strongly positive, 68% of them perceived it as an unpleasant task and 29% agreed that they had insufficient training; 78% agreed to learn more about the best way to perform oral care. Standard descriptive statistics were calculated for all baseline information (sociodemographic characteristics). Binary variables were expressed as proportions, and normally distributed continuous variables as means and standard deviations.Conclusion:The poor perception and attitudes of ICU nurses regarding oral care for MV patients require the urgent attention of clinical administrators. In-hospital training regarding oral care protocol could improve nurses’ perception and attitudes.

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Does an oral care protocol reduce VAP in patients with a tracheostomy?

Abstract: Tooth brushing with toothpaste and applying CHG 0.12% solution may be an effective oral care protocol to reduce the VAP rate in patients in PCUs with tracheostomies who are being mechanically ventilated.

Cited by 14 publications

References 22 publications

Oral Health of Patients Hospitalized in the Intensive Care Unit

Oral Health of Patients Hospitalized in the Intensive Care Unit

Effects of simulation education on oral care practices – a randomized controlled trial

Nurses’ perception and attitudes towards oral care practices for mechanically ventilated patients

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