One evidence based protocol doesn’t fit all: Brushing away ventilator associated pneumonia in trauma patients

Johnson, Kari; Domb, Alisa; Johnson, R. M.

doi:10.1016/j.iccn.2012.02.005

Cited by 10 publications

(10 citation statements)

References 52 publications

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“…In Europe, chlorhexidine is widely used by nurses in oral hygiene in the form of mouthwashes or gels (Jones et al ., ; Rello et al ., ) but less so in the USA, where only 17% of nurses surveyed used this product (Binkley et al ., ). This is likely because the use of an antiseptic agent is optional in guidelines used for the prevention of VAP (CDC, ) but also because these are not consistently or uniformly implemented (Cason et al ., ) and the optional use of antiseptics in oral hygiene continues (Johnson et al ., ).…”

Section: Oral Decontaminationmentioning

confidence: 97%

A review of oral preventative strategies to reduce ventilator‐associated pneumonia

Andrews

Steen

2013

Nursing in Critical Care

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While there have been a number of studies conducted evaluating the efficacy of both approaches, there is limited evidence to support their use. The frequency of oral decontamination and mechanical hygiene interventions have not been established and chlorhexidine 2% seems to be more effective compared to weaker concentrations, but data is mainly confined to patients following cardiothoracic surgery.

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Section: Oral Decontaminationmentioning

confidence: 97%

A review of oral preventative strategies to reduce ventilator‐associated pneumonia

Andrews

Steen

2013

Nursing in Critical Care

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“…La mayoría de los estudios sobre las prácticas de higiene se centran en el personal de salud, no en los pacientes y se limitan a la descripción de los elementos instrumentales del procedimiento. Al respecto indican que los cuidados relacionados con la necesidad de higiene más desarrollados son higiene oral, higiene perianal, lavado de manos, sin embargo, se observa deficiente documentación de resultados e impacto y poco reflejo del cuidado de enfermería individualizado (15,39) Se evidencian piezas de investigación y documentales relacionadas con uso de agentes limpiadores, higiene oral y su impacto y asociación con morbilidad y mortalidad por neumonía asociada al ventilador (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56) . También numerosos artículos relacionados con la higiene de las manos y control de infecciones (57)(58)(59)(60)(61)(62)(63)(64) y programas de control de infecciones (65)(66)(67) .…”

Section: Necesidades De Investigaciónunclassified

Hygiene: basic care that promotes comfort in critically ill patients

Carrascal

Ramírez

2015

eglobal

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Los pacientes hospitalizados en entornos críticos requieren la provisión de cuidados de enfermería para satisfacer sus necesidades básicas. Las intervenciones encaminadas a satisfacer las necesidades de higiene son cuidados de enfermería, inherentes al rol profesional y que actualmente se omiten o delegan por considerarlas de poco valor, sin tener en cuenta que constituyen indicadores de resultado en los pacientes y de la calidad de atención en las unidades de cuidado crítico. Objetivo: Analizar la importancia social, disciplinar y teórica de la higiene como un cuidado básico de enfermería requerido por los pacientes críticos y su relación con la comodidad a la luz de la teoría propuesta por Kolcaba. Método: Revisión de la literatura y selección de artículos en las bases de datos ISI -Web of Knowledge, Scopus, Science Direct, Proquest, Ebsco, Medline, Ovid, Scielo y de otras fuentes como documentos no publicados y páginas web. La revisión incluyó 3 estudios cualitativos, 27 cuantitativos, 1 estudio mixto, 40 piezas documentales y 4 editoriales publicados por profesionales de enfermería y otras áreas de la salud. Resultados: Los resultados se organizaron en 4 categorías así, cuidados básicos de enfermería en entornos críticos, higiene como cuidado básico para los pacientes críticos, higiene y comodidad y necesidades de investigación. Importancia clínica: Es indispensable que el profesional de enfermería asegure la satisfacción de las necesidades de higiene de los pacientes, así se proporciona seguridad, comodidad y bienestar. Durante la provisión de los cuidados de enfermería se presenta una oportunidad para que el profesional de enfermería se comunique con el paciente, evalúe el estado físico y psicológico, identifique posibles ansiedades y temores, planifique los cuidados y brinde una atención individualizada

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“…Ventilator-associated pneumonia (VAP) is the leading cause of infection in the intensive care unit (ICU) and the 2nd in hospital-acquired infections (1)(2)(3)(4). VAP is a critical concern in patients admitted to ICU (5, 6).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Ozonated Water and Chlorhexidine Gluconate on Prevention of Ventilator-Associated Pneumonia: A Double-Blind, Randomized, Clinical Trial

Hanifi¹,

Masoumi²,

Jamshidi³

et al. 2017

Iran Red Crescent Med J

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Background:The relationship between the oral care and ventilator-associated pneumonia (VAP) was confirmed in patients undergoing ventilation. Objectives: The current study aimed at investigating the effects of chlorhexidine gluconate (CHX) and ozonated water on the prevention of VAP. Methods: The current double-blind, randomized, clinical trial with the experimental and control groups was conducted in Iran in 2014. In the current study, 75 inpatients undergoing ventilation were grouped through the convenience sampling method and randomly allocated into 2 groups based on the inclusion criteria. In the experimental group (39 patients), oral care provided by ozonated water, while in the control group (35 patients), oral care was provided via CHX. Clinical pulmonary infection score (CPIS) was used to examine the rate of VAP infection. Results: According to the results of the current study, the occurrence rate of VAP in the experimental and control groups were 2.4% and 8.3%, respectively that was equal until the 3rd day (P value = 0.339). However, on the 4th day, the VAP occurrence rate in the experimental group (14.6%) was significantly lower than that of the control group (30.6%) (P value = 0.02). Conclusions: Based on the results, ozonated water was more effective to prevent VAP than CHX. Ozone water can be used as a suitable alternative mouthwash in patients undergoing mechanical ventilation.

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One evidence based protocol doesn’t fit all: Brushing away ventilator associated pneumonia in trauma patients

Cited by 10 publications

References 52 publications

A review of oral preventative strategies to reduce ventilator‐associated pneumonia

A review of oral preventative strategies to reduce ventilator‐associated pneumonia

Hygiene: basic care that promotes comfort in critically ill patients

The Effect of Ozonated Water and Chlorhexidine Gluconate on Prevention of Ventilator-Associated Pneumonia: A Double-Blind, Randomized, Clinical Trial

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