Oral health promotion in patients with chronic renal failure admitted in the Intensive Care Unit

Miranda, Alexandre Franco; Lia, Erica Negrini; Carvalho, Tatiane Maciel de; Piau, Cinthia Gonçalves Barbosa de Castro; Costa, Priscila Paganini; Bezerra, Ana Cristina Barreto

doi:10.1002/ccr3.437

Cited by 9 publications

(38 citation statements)

References 17 publications

(53 reference statements)

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“…These individuals often remain open-mouthed due to orotracheal intubation, which leads to oral mucosa dehydration. Thus, the possibility of tongue biofilm increases, favoring the production of volatile sulfur components, including mercaptans and sulfhydryls, which have an unpleasant Damascena 4,5 . Furthermore, the poor oral health status of critical patients produces signs and symptoms such as periodontitis, gingivitis, otitis, chronic nasopharyngitis and xerostomia, which enhance infection outbreaks favorable to nosocomial pneumonia [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…The normal condition of the oral cavity in most of this study's patients may be explained by the fact that during the data collection period, the ICU team at the Clementino Fraga Hospital included a dental surgeon who routinely performed inpatient oral hygiene using 0.12% chlorhexidine solution. The inclusion of such a healthcare professional within the hospital setting improves the oral health care of inpatients 5 and may promote increased oral health quality among these individuals. Furthermore, 0.12% chlorhexidine is a compound that is used for chemical biofilm control, and it reduces oral pathogen colonization 5,19 .…”

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confidence: 99%

“…The inclusion of such a healthcare professional within the hospital setting improves the oral health care of inpatients 5 and may promote increased oral health quality among these individuals. Furthermore, 0.12% chlorhexidine is a compound that is used for chemical biofilm control, and it reduces oral pathogen colonization 5,19 .…”

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confidence: 99%

“…Oral changes, including bleeding, are caused by certain diseases, and they may lead to deficient wound healing in oral tissues and increased sensitivity to the development of oral tissue injuries 5 , thus affecting biofilm formation. Oral bleeding is a problem that affects ICU patients 21 ; gingival bleeding was also found in this previous study, corroborating the results of the present research.…”

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confidence: 99%

“…Oral bleeding is a problem that affects ICU patients 21 ; gingival bleeding was also found in this previous study, corroborating the results of the present research. Biofilm formation in the oral cavity of critically ill patients may worsen their health status because a biofilm is considered a microbial reservoir that is associated with infections 5 . One study showed that intense biofilm accumulation occurred after 72 hours of hospitalization 24 .…”

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confidence: 99%

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Factors associated with oral biofilm in ICU patients with infectious diseases

Damascena

Rodrigues

Costa

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A hospitalização pode provocar deterioração da saúde bucal, repercutindo em todo o corpo. A UTI pode ser um ambiente favorável ao acúmulo de biofilme oral em pacientes críticos. Objetivo: Identificar fatores associados à presença do biofilme em pacientes da UTI de um hospital de doenças infectocontagiosas. Método: Estudo retrospectivo, descritivo e inferencial, com abordagem quantitativa. Os dados foram obtidos em prontuários de pacientes da UTI, de janeiro de 2012 a julho de 2015. O biofilme foi avaliado de acordo com o índice de Greene e Vermillion. Os fatores influentes foram analisados por regressão logística. Resultado: Entre os pacientes da UTI, 69,1% eram homens, 60,7% pacientes com AIDS, 66,3% pacientes na enfermaria, 50,6% intubados e 50,0% sedados. Seus elementos orais eram na maioria normais. As seguintes características foram significativamente associadas a biofilmes orais: alterações orais nos lábios, gengivas, bochechas e palatos e sangramento. Pacientes da enfermaria apresentaram menor risco de apresentar biofilmes. Conclusão: o aumento do acúmulo de biofilme oral foi observado em pacientes com alterações na boca e a procedência do paciente foi associada à presença de biofilme.Descritores: Hospital; paciente; saúde bucal; manifestações orais; biofilme. AbstractIntroduction: Hospitalization may cause a decline in oral health and affect the entire body. The intensive care unit (ICU) may be a favorable environment for oral biofilm to accumulate in critically ill patients. Objective: To identify factors associated with oral biofilm in ICU patients in a hospital for infectious diseases. Method: This was a retrospective, descriptive and inferential study with a quantitative approach. Data were collected from 178 medical records of patients from January 2012 to July 2015. Biofilm presence was assessed according to the Greene and Vermillion index. Potential influential factors were analyzed by logistic regression. Result: Among ICU patients, 69.1% were men, 60.7% had acquired immune deficiency (AIDS), 66.3% were ward patients, 50.6% were intubated, and 50.0% were sedated. The oral elements of the patients were mostly normal. The following characteristics were significantly associated with oral biofilm: changes in the lips, gums, cheeks, and palates and bleeding. Patients from the ward had a lower risk of biofilm. Conclusion: Increased oral biofilm accumulation was observed in patients with oral changes, and patient origin was associated with the presence of biofilm.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Factors associated with oral biofilm in ICU patients with infectious diseases

Damascena

Rodrigues

Costa

et al. 2017

Rev. odontol. UNESP

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Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment

Silva,

Oliveira,

Medeiros

et al. 2024

The Saudi Dental Journal

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Cuidados Bucais Em Pacientes Ventilados Mecanicamente: Conhecimento De Enfermeiros De Um Hospital Escola

Silva

Gonçalves

Bueno

et al. 2018

revenf

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Objetivo: Avaliar o conhecimento acerca dos cuidados bucais realizados por enfermeiros a pacientes ventilados mecanicamente. Método: Estudo transversal, realizado em um hospital escola de Goiânia/Goiás. A coleta de dados deu-se por meio de questionário estruturado. Resultados: Os enfermeiros conhecem as medidas recomendadas sobre higiene bucal. Os fatores dificultadores encontrados foram a falta de pessoal (21,7%), falta de tempo (16,7%) e trabalhos burocráticos (15%). Contudo ainda existem lacunas no que se refere a produtos e materiais utilizados na higiene bucal. Conclusão: As Lacunas e os fatores dificultadores sinalizados nesse estudo merecem reflexão, como forma de avaliar a qualidade do cuidado oferecido.Descritores: Biofilme; Higiene Bucal; Cuidados de enfermagem.ORAL CARE IN MECHANICALLY VENTILATED PATIENTS: KNOWLEDGE OF NURSES FROM A SCHOOL HOSPITALObjective: To evaluate the knowledge about oral care performed by nurses in mechanically ventilated patients. Methods: a cross-sectional study, conducted in a teaching hospital of Goiania/Goias. The data collection was performed by means of a structured questionnaire. Results: The nurses know the measures recommended on oral hygiene. The complicating factors found were the lack of personnel (21.7%), lack of time (16.7%) and work on tape (15%). However there are still gaps in relation to products and materials used in oral hygiene. Conclusion: The gaps and the factors complicating factors indicated in this study deserve consideration, as a means of evaluating the quality of care offered.Keywords: Biofilm; Oral hygiene; Nursing care.CUIDADO ORAL EN PACIENTES CON VENTILACIÓN MECÁNICA: EL CONOCIMIENTO DE LAS ENFERMERAS DEL HOSPITAL ESCUELAObjetivo: Evaluar el conocimiento sobre el cuidado bucal realizadas por enfermeras en pacientes ventilados mecánicamente. Métodos: Estudio transversal, realizado en un hospital de Goiania y Goias. La recolección de datos se realizó por medio de un cuestionario estructurado. Resultados: Las enfermeras saben las medidas recomendadas en la higiene bucal. Los factores encontrados fueron la falta de personal (21,7%), la falta de tiempo (16,7%) y trabajar en la cinta (15%). Sin embargo todavía hay lagunas en relación con los productos y los materiales utilizados en la higiene bucal. Conclusión: Las brechas y los factores factores indicados en este estudio merecen consideración, como medio de evaluar la calidad de la atención ofrecida.Palabras clave: Biofilme; Higiene Bucal; Atención de Enfermería.

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Oral health promotion in patients with chronic renal failure admitted in the Intensive Care Unit

Cited by 9 publications

References 17 publications

Factors associated with oral biofilm in ICU patients with infectious diseases

Factors associated with oral biofilm in ICU patients with infectious diseases

Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment

Cuidados Bucais Em Pacientes Ventilados Mecanicamente: Conhecimento De Enfermeiros De Um Hospital Escola

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