Nasal care in intensive care unit patients

Effect of applying saline spray on nasal health status of critically ill patients

“…This was in line with Ozturan et al (2017) who stated that the Enterobacteriacea, Klebsiella species that proliferated in the initial culture continued in the last culture in the control group. [14] As regards to Gram positive bacteria named Staphylococcus aureus, about half of the control group had proliferated Staphylococcus aureus in the second culture compared to 20% in the study group and this difference was significant. This result was in contrast with Senturk et al (2017) who stated that there was no significant difference between the two groups post care as regards to Gram positive bacteria.…”

“…In addition no statistical difference was found between the control and study groups as regards to isolation of alfa hemolytic streptococci neither before nor on the 7th day of nasal care. [14] The results of the current study revealed that the use of saline nasal spray is more effective than routine nasal care in reducing colonization with different bacterial species and improving secretion score, these results were consistent with other studies showed that the usage of saline nasal drops 4 times daily through ten days is much helpful than the use of antiobiotic therapy in children with acute sinusitis. [15] It was proven that this therapy decreases such substances as prostaglandins, leukotriene, and histamine which causing direct inflammation.…”

“…This result was in line with Senturk et al (2017) who noted that Klebsiella had proliferated in 7 patients of the studied sample in the first culture but after nasal care only one patient had proliferated Klebsiella. [14] Moreover, in the current study about half of the control group had proliferated Klebsiella in the first culture which continued to the second culture on the 7th day of routine nasal care while no one had proliferated Klebsiella in the studied sample following administration of normal saline spray which was highly statistically significant. This was in line with Ozturan et al (2017) who stated that the Enterobacteriacea, Klebsiella species that proliferated in the initial culture continued in the last culture in the control group.…”

“…[14] Moreover, in the current study about half of the control group had proliferated Klebsiella in the first culture which continued to the second culture on the 7th day of routine nasal care while no one had proliferated Klebsiella in the studied sample following administration of normal saline spray which was highly statistically significant. This was in line with Ozturan et al (2017) who stated that the Enterobacteriacea, Klebsiella species that proliferated in the initial culture continued in the last culture in the control group. [14] As regards to Gram positive bacteria named Staphylococcus aureus, about half of the control group had proliferated Staphylococcus aureus in the second culture compared to 20% in the study group and this difference was significant.…”

“…Part 3: Nasal culture sheet: culture was obtained from critically ill patients within 24 hours of admission before administering of topical normal saline spray (first culture) and repeated on the 7th day thereafter (second culture). Tool (II): Nasal care tool; nasal care tool was developed by the researcher after reviewing the related literature [12][13][14] to record nasal activity performed for critically ill patients. It was divided into 2 parts.…”