Prophylactic oral health procedures to prevent hospital-acquired and ventilator-associated pneumonia: A systematic review

El-Rabbany, Mohamed; Zaghlol, Noha; Bhandari, Mohit; Azarpazhooh, Amir

doi:10.1016/j.ijnurstu.2014.07.010

Cited by 64 publications

(69 citation statements)

References 42 publications

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“…As the oral cavity is in contact with the lower airways of the trachea, the oral secretion causes the transfer of colonized bacteria in the mouth to the lower airways, which results in infection and pneumonia (8,9). The results of the current study showed that lack of adequate care of the mouth leads to dry mucosa of the mouth, reduced salivary flow, inflammation of the oral mucosa, and colonization of pathogenic bacteria in the mouth and oropharynx (10,11).…”

Section: Introductionmentioning

confidence: 71%

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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Section: Introductionmentioning

confidence: 71%

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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“…A large multicenter study showed that Acinetobacter spp., Pseudomonas spp., S. aureus and Klebsiella spp. were the most common causes of HAP with high resistance to antibiotics (8). Salehifar et al (14) revealed that Acinetobacter spp.…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis and appropriate antibiotic treatment decrease HAP mortality and morbidity. Awareness about the most frequent causes of HAP can help with the empiric antibiotic therapy (8,9).…”

Section: Introductionmentioning

confidence: 99%

Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey

Farid

Moghaddam

Bojdy

2018

Arch Clin Infect Dis

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Background: Hospital-acquired pneumonia (HAP) prevalence is related to patients' population and diagnostic methods. HAP incidence is reported in different studies from 9% to 46%. The current study aimed at evaluating the etiology of HAP in patients admitted to intensive care units (ICUs). Methods:The patients admitted to ICU of Imam Reza hospital (a tertiary care and teaching hospital in Mashhad, Northeast of Iran) were evaluated for HAP based on the following criteria: fever, leukocytosis, purulent discharge, new radiologic findings, changes in O2 saturation, and ventilator setting. Blood and endotracheal aspirates cultures were performed for all patients. Demographic characteristics were recorded in a checklist. Results: Among the 88 adult patients enrolled in the current study, the most frequent radiologic finding was patchy infiltration in

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“…Bundan dolayı mekanik ventilatöre bağlı bireylerde ağız bakımı verilmesi önemlidir. Mekanik ventilatöre bağlı hastalarla yapılan çalışmalar ağız içi sorunların önlenmesinde ağız bakımının etkisini ortaya koymaktadır (Berry et al 2011;El-Rabbany et al 2015;Liao, Tsai & Chou 2014;Yao et al 2011).…”

Section: Introductionunclassified

“…Ağız bakımında etkili bir ürün olan sakşınlı diş fırçası hastalarda ağızda plak oluşumunu ve enfeksiyonu önlemektedir (Abidia 2007;El-Rabbany et al 2015;Cutler & Sluman 2014). Literatürde sakşınlı diş fırçasının VİP'i önlediğine dair çalışmalar yer almaktadır (Boop et al 2006;Cutler & Sluman 2014;Schleder 2002;Yao et al 2011).…”

Section: Introductionunclassified

Effects of oral care provided with three different tools in patients receiving mechanical ventilation<p>Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi

Özveren

Uçar

2017

HumanSciences

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Aim: This study was conducted to investigate the effects of oral care provided suction toothbrush, suction sponge stick and sponge stick in patients receiving mechanical ventilation. Material and method:The study was conducted as a quasi-experimental study. Thirty patients who were over 18 years of age and receiving mechanical ventilation comprised the study sample. The patients who met the inclusion criteria were divided into three groups: the suction toothbrush group, the suction sponge stick group and the sponge stick group. The patients in the three groups were provided oral care by the researcher twice a day at 12-hour intervals for 5 days. To collect the data, the socio-demographic characteristics form, the patient follow-up form, the Oral Assessment Follow-up Form and the microbiological follow-up form were used.

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Prophylactic oral health procedures to prevent hospital-acquired and ventilator-associated pneumonia: A systematic review

Cited by 64 publications

References 42 publications

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

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

Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey

Effects of oral care provided with three different tools in patients receiving mechanical ventilation<p>Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi

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