Effectiveness of a Dental Care Intervention in the Prevention of Lower Respiratory Tract Nosocomial Infections among Intensive Care Patients: A Randomized Clinical Trial

Abstract

Brazilian Clinical Trials Registry, affiliated with the World Health Organization's International Clinical Trial Registry Platform: U1111-1152-2671.

A prática da odontologia hospitalar no Brasil: uma revisão integrativa da literatura

“…As much as 17 (60.7%) [3][4][5][6][7]10,18,19,[21][22][23][26][27]29,33 studies were published between 2014 and 2017, 4 (14.3%) 2,16,30,32 in 2011, 3 (10.7%) 24,25,28 in 2010, 2 (7.1%) 17,20 in 2013, and 1 (3.6%) in 2008 and 1 in 2012. 15,31 Most of the studies were conducted in São Paulo state, with 7 (25%) 2,15,17,19,22,24,26 publications, followed by the states of Santa Catarina (n=4, 14.3%), 7,25,28,32 Paraná (n=3, 10.7%) 6,13,30 and Mato Grosso (n=2, 5.6%). 18,23 The states of Bahia, Goiás, Mato Grosso do Sul, Minas Gerais, Pará, Paraíba, Pernambuco, Piauí, Rio Grande do Norte and Rio Grande do Sul had 1 (2.8%) publication each, accounting to 28% of the sample.…”

“…In order to identify the scenario of hospital dentistry in Brazil through published studies, it was found that 6 (21.4%) [13][14][15]17,23,26 studies had a control group; 17 (60.7%) [4][5][6]16,18,19,[20][21][22]24,[27][28][29][30][31][32][33] were related to patients' oral health profile and 5 (17.9%) 2,3,7,10,25 were questionnaire-based studies of which 4 3,7,10 involved only patients and 1 25 involved patients, caregivers and healthcare professionals.…”

“…From studies that had a control groups, 5 (83.3%) 14,15,17,23,26 were performed with patients admitted to ICUs and 1 (16.7%) 13 with patients under mechanical ventilation. Three (50%) 13,17,23 studies were conducted in adult patients, and the others did not mention the age of the individuals.…”

“…Three (50%) 13,17,23 studies were conducted in adult patients, and the others did not mention the age of the individuals. 14,15,26 Material collection for laboratory analysis of microbial culture was performed in only 2 studies (33.3%) 13,15 and an antibiogram was also done in one of them. 13 Control Groups from each of the 6 studies [13][14][15]17,23,26 received the standard oral hygiene protocol provided by the respective health institution, i.e., use of chlorhexidine (CHX), sodium chloride solution (NaCl) or foam sticks and oral antiseptic solutions.…”

“…14,15,26 Material collection for laboratory analysis of microbial culture was performed in only 2 studies (33.3%) 13,15 and an antibiogram was also done in one of them. 13 Control Groups from each of the 6 studies [13][14][15]17,23,26 received the standard oral hygiene protocol provided by the respective health institution, i.e., use of chlorhexidine (CHX), sodium chloride solution (NaCl) or foam sticks and oral antiseptic solutions. On the other hand, oral hygiene in the Study Groups was performed with toothbrushing plus chlorhexidine, toothbrushing and/or periodontal scaling and/or treatment of carious lesions and/or extraction in addition to the use of 2% chlorhexidine and Bioténe Mouthwash® with foam sticks.…”