Prevention of ventilator-associated pneumonia with oral antiseptics: a systematic review and meta-analysis

Ethnographic Investigation of Oral Care in the Intensive Care Unit

“…In accordance with recommendations 17,18 to prevent VAP, care providers on the unit used an oral care protocol that included an oral chlorhexidine gluconate rinse. [19][20][21] Hospital and university institutional review boards approved the study.…”

Implementing selective digestive tract decontamination in the intensive care unit: A qualitative analysis of nurse-identified considerations

“…(Masterton et al, 2008) Many participants seemed to confuse the oral component of SDD with routine mouthcare using chlorhexidine. The reference was not to selective oral decontamination (SOD), which is the administration of oral antimicrobials and omitting the intestinal and parenteral components, important to differentiate chlorhexidine as an antiseptic (Koeman et al, 2006, Labeau et al, 2011) from the use of topical, non-absorbable antibiotics that feature as a component of SDD. The primary concern for delivering SDD to critically ill patients was the potential for development of antibiotic resistance.…”

Recent Advances in Multidisciplinary Critical Care

“…27,28 One of the pillars of oral care in intubated patients is the use of antiseptic mouthwashes, although the optimal frequency, contact time, and antiseptic concentrations have yet to be determined. 29 Another aspect of oral care is optimizing the patient's oral health status before ICU admission or intubation. In case of elective major surgery, patients can be encouraged to brush teeth and rinse the oral cavity in the weeks preceding the surgical procedure.…”