Fatores associados à pneumonia nosocomial em indivíduos hospitalizados

Oliveira, Thaís Feitosa Leitão de; Filho, Isaac Suzart Gomes; Passos, Johelle de Santana; Cruz, Simone Seixas da; Oliveira, Michelle Teixeira; Trindade, Soraya Castro; Machado, Adelmir de Souza; Coelho, Julita Maria Freitas; Santos, Carla Maria Lima; Cerqueira, Eneida de Moraes Marcílio

doi:10.1590/s0104-42302011000600008

Cited by 24 publications

(15 citation statements)

References 18 publications

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“…Therefore, its relevance is not limited to the mouth, but saliva can be considered essential to the inflammatory healing of oral, esophageal, and gastric processes [6]. When suppressed or diminished, it causes the feeling of dry mouth, difficulties in swallowing and enhance the risk of development of opportunistic infections [12].…”

Section: Discussionmentioning

confidence: 99%

“…One of the possible risk factors to the decrease in the oral hygiene could be the period of hospitalization equal or longer than 5 days, which suggests that the longer the hospitalization period, the more likely the patient is to develop respiratory infections acquired in the hospital environment [12]. A prospective study [10] concluded that children with longer periods of hospitalization showed the presence of pathogen microorganisms in higher levels than the normal flora, representing a risk for the child.…”

Section: Discussionmentioning

confidence: 99%

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Oral evaluation of children and adolescents in intensive care unit

Schünemann

Canani

Marín

2018

RSBO

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Introduction: Hospitalized children can present some complications if they do not present a correct oral care during hospitalization. Objective: This study aimed to perform an oral evaluation of children and adolescents hospitalized in an intensive care unit of a children's hospital at southern Brazil. Material and methods: 49 subjects were examined, aged from 0 to 17 years old, using the modified Oral Assessment Guide (OAGm). The lips, corner of the mouth, gums, oral mucosa, saliva, tongue, and teeth were examined. Each category was classified in a numeric scale from 1 to 3, where 1 means the better condition and 3 the worse. Results: The results showed alterations in the lips, tongue, oral biofilm, and saliva in most of the subjects. The OAGm value indicated a worse oral condition in older children. The OAGm values for children with teeth were higher than that for edentulous children, this difference was statistically significant (p<0.05). Conclusion: It could be concluded that children hospitalized in an intensive care unit show deficiency in oral health when assessed through OAGm.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Oral evaluation of children and adolescents in intensive care unit

Schünemann

Canani

Marín

2018

RSBO

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“…Respiratory diseases are responsible for significant morbidity and mortality in population [1][2][3]. The upper respiratory tract are in intimate contact with the oral cavity through the oropharynx.…”

Section: Introductionmentioning

confidence: 99%

“…However, this balance can be upset quickly when the lack of oral hygiene promotes the accumulation of bacterial biofilm and periodontal disease, causing contamination of the oropharynx and spread to other sites, especially When the natural defense mechanisms are disturbed. This situation is common in the elderly, especially when they lose autonomy to the self-care [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…The aspiration of oropharyngeal secretions is a common occurrence in healthy subjects during sleep. When there are risk factors for aspiration pneumonia, such as dysphagia, chronic obstructive pulmonary disease, when it becomes necessary to supply alternative-common situations in the elderly-the risk of respiratory infection is greater [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Hospital dentistry and the occurrence of pneumonia

Gomes

Castelo

2019

RGO, Rev. Gaúch. Odontol.

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Objective:To determine the oral health conditions of the elderly patients hospitalized and restricted to the bed and to correlate with the development of infections at a distance, especially pneumonia. To verify if the daily follow-up of the dental surgeon improves oral health and reduces the occurrence of respiratory infection in hospitalized elderly patients. Methods: Quasi-experimental study with hospitalized and bed restricted elderly, two simple randomized groups, one group was evaluated and monitored daily by the dental surgeon, the other group was evaluated and received guidance on health care and oral hygiene and of dental prostheses. Results: Both groups presented poor health and oral hygiene and prosthetic conditions. There was improvement in the oral health conditions of both groups. Seven percent of the patients developed pneumonia during the period of hospital stay and the oral health of these patients were considered regular or bad. Conclusion: The performance of the dental surgeon promoted improvements in the oral health of both groups in the first evaluation, with no statistical difference between the group that received daily follow-up and the group that received guidelines, so it was concluded that oral health care should be a behavior of the team multidisciplinary, dentistry should intervene if the changes interfere in the clinical condition of the patient and offer training and support to the multidisciplinary team that is in the first line of care with hospitalized patients. RESUMOObjetivo: Determinar as condições de saúde bucal dos pacientes idosos hospitalizados e restritos ao leito e correlacionar com o desenvolvimento de infecções à distância, sobretudo a pneumonia. Verificar se o acompanhamento diário do cirurgião-dentista melhora a saúde bucal e reduz a ocorrência de infecção respiratória em pacientes idosos internados. Metodologia: Estudo quase experimental com idosos internados em um hospital de ensino do sul do Brasil, restritos ao leito. A amostra teve 42 indivíduos, divididos em 2 grupos de formação aleatória simples, o grupo 1 recebeu avaliação e acompanhamento diário do cirurgião-dentista, o grupo 2 foi avaliado e recebeu orientações sobre os cuidados com a saúde e higiene bucal e das próteses dentárias. Resultados: Ambos os grupos apresentavam condições precárias da saúde e higiene bucal e das próteses na primeira avaliação. Houve melhora nas condições de saúde bucal de ambos os grupos no final da internação. Sete por cento dos pacientes desenvolveram pneumonia durante a internação hospitalar e a saúde bucal destes pacientes foram consideradas regulares ou ruins. Conclusão: A atuação do cirurgião-dentista promoveu melhoras na saúde bucal de ambos os grupos, sem diferença estatística entre o grupo que recebeu acompanhamento diário e o grupo que recebeu orientações, assim conclui-se que a atenção à saúde bucal deve ser uma conduta da equipe multidisciplinar, a odontologia deve estar presente para atuar em alterações que interfiram na condição clínica do paciente e oferecer capacit...

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Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

et al. 2020

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Objectives To evaluate occurrence and risk factors for pneumonia in patients with deep odontogenic infection (OI). Materials and methods All patients treated for deep OIs and requiring intensive care and mechanical ventilation were included. The outcome variable was diagnosis of nosocomial pneumonia. Primary predictor variables were re-intubation and duration of mechanical ventilation. The secondary predictor variable was length of hospital stay (LOHS). The explanatory variables were gender, age, current smoking, current heavy alcohol and/or drug use, diabetes, and chronic pulmonary disease. Results Ninety-two patients were included in the analyses. Pneumonia was detected in 14 patients (15%). It was diagnosed on postoperative day 2 to 6 (median 3 days, mean 3 days) after primary infection care. Duration of mechanical ventilation (p = 0.028) and LOHS (p = 0.002) correlated significantly with occurrence of pneumonia. In addition, re-intubation (p = 0.004) was found to be significantly associated with pneumonia; however, pneumonia was detected in 75% of these patients prior to re-intubation. Two patients (2%) died during intensive care unit stay, and both had diagnosed nosocomial pneumonia. Smoking correlated significantly with pneumonia (p = 0.011). Conclusion Secondary pneumonia due to deep OI is associated with prolonged hospital care and can predict the risk of death. Duration of mechanical ventilation should be reduced with prompt and adequate OI treatment, whenever possible. Smokers with deep OI have a significantly higher risk than non-smokers of developing pneumonia. Clinical relevance Nosocomial pneumonia is a considerable problem in OI patients with lengthy mechanical ventilation. Prompt and comprehensive OI care is required to reduce these risk factors.

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Fatores associados à pneumonia nosocomial em indivíduos hospitalizados

Abstract: The findings indicate that arterial hypertension, length of hospital stay of five days and lack of dental floss and mouthwash use are factors likely associated with nosocomial pneumonia, suggesting that these factors should be targeted for effective prevention.

Cited by 24 publications

References 18 publications

Oral evaluation of children and adolescents in intensive care unit

Oral evaluation of children and adolescents in intensive care unit

Hospital dentistry and the occurrence of pneumonia

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

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