Reducing missed oral care opportunities to prevent non-ventilator associated hospital acquired pneumonia at the Department of Veterans Affairs

Munro, Shannon; Baker, Dian

doi:10.1016/j.apnr.2018.09.004

Cited by 32 publications

(25 citation statements)

References 19 publications

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“…It is also noteworthy that this care must be disconnected from the bath and, when not possible, it must be performed before body hygiene (14) . This, however, should not be the only moment of oral hygiene, a situation recognized by the investigated professionals, as observed in the statements.…”

Section: Resultsmentioning

confidence: 99%

“…A study showed that oral hygiene performed twice a day in non-ventilated patients decreased the incidence of hospitalacquired pneumonia from 105 to 8.3 cases per 100 patient-days in the first year of the survey, estimating that 13 lives were saved in 19 months (14) . The authors also concluded that when nurses motivate the staff to help with oral hygiene, it can be avoided costs associated with these pneumonias, saving 2.84 million dollars with this care.…”

Section: Resultsmentioning

confidence: 99%

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(Lack of) oral hygiene care for hospitalized elderly patients

et al. 2021

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Objective: to analyze the oral hygiene care for hospitalized elderly patients provided by the nursing staff. Method: this is a qualitative, exploratory-descriptive study carried out in a university hospital, with the participation of 35 professionals from the nursing staff. Data collection was carried out through semi-structured interviews, explored through thematic content analysis. Results: two categories emerged: The oral hygiene of hospitalized elderly patients as an extension of body care and Barriers in (lack of) care with the oral hygiene of hospitalized elderly patients, with two subcategories: The oral hygiene and dental prosthesis technique performed divergently; Care hampered by deficit of materials and human resources. Final considerations: this study showed weaknesses in the oral hygiene care of hospitalized elderly patients, promoting reflections on the practice informed in data and management actions, allowing recommendations of care standards for the nursing staff.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

(Lack of) oral hygiene care for hospitalized elderly patients

et al. 2021

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“…Nurse scientists have a long history in examining the oral environment as a way to improve care (Ames et al, 2011; Feider et al, 2010; Munro & Baker, 2018; Prendergast et al, 2009). Focusing on the study of the oral microbiome is the next step in this science as oral cavity health status is linked to systemic outcomes (Acharya et al, 2017; Ames et al, 2019; Chapple et al, 2017; Farquhar et al, 2017; Lockhart et al, 2012).…”

mentioning

confidence: 99%

The Oral and Gut Bacterial Microbiomes: Similarities, Differences, and Connections

Maki

Kazmi

Barb

et al. 2020

Biological Research For Nursing

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Background: The oral cavity is associated with local and systemic diseases, although oral samples are not as commonly studied as fecal samples in microbiome research. There is a gap in understanding between the similarities and differences in oral and gut microbiomes and how they may influence each other. Methods: A scoping literature review was conducted comparing oral and gut microbiome communities in healthy humans. Results: Ten manuscripts met inclusion criteria and were examined. The oral microbiome sites demonstrated great variance in differential bacterial abundance and the oral microbiome had higher alpha diversity as compared to the gut microbiome. Studies using 16S rRNA sequencing analysis resulted in overall community differences between the oral and gut microbiomes when beta diversity was analyzed. Shotgun metagenomics sequencing increased taxonomic resolution to strain level (intraspecies) and demonstrated a greater percentage of shared taxonomy and oral bacterial translocation to the gut microbiome community. Discussion: The oral and gut microbiome bacterial communities may be more similar than earlier research has suggested, when species strain is analyzed through shotgun metagenomics sequencing. The association between oral health and systemic diseases has been widely reported but many mechanisms underlying this relationship are unknown. Although future research is needed, the oral microbiome may be a novel interventional target through its downstream effects on the gut microbiome. As nurse scientists are experts in symptom characterization and phenotyping of patients, they are also well posed to lead research on the connection of the oral microbiome to the gut microbiome in health and disease.

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“…Hospital acquired pneumonia (HAP) accounts for 25 percent of all hospital-acquired infections (46) and presents a serious risk for patients hospitalized with COVID-19 (47). Studies conducted in a veterans' hospital setting have supplied evidence that nonventilator-associated HAP was reduced significantly by providing standard oral health care (48), improving patient outcomes while lowering costs of care. This study has been expanded to include eight VA hospitals with plans for national VA deployment.…”

Section: Hospital Acquired Pneumoniamentioning

confidence: 99%

A Perspective: Integrating Dental and Medical Research Improves Overall Health

Mouradian

Lee

Wilentz³

et al. 2021

Front. Dent. Med

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The past decade has seen marked increases in research findings identifying oral-systemic links. Yet, much of dental research remains poorly integrated with mainstream biomedical research. The historic separation of dentistry from medicine has led to siloed approaches in education, research and practice, ultimately depriving patients, providers, and policy makers of findings that could benefit overall health and well-being. These omissions amount to lost opportunities for risk assessment, diagnosis, early intervention and prevention of disease, increasing cost and contributing to a fragmented and inefficient healthcare delivery system. This perspective provides examples where fostering interprofessional research collaborations has advanced scientific understanding and yielded clinical benefits. In contrast are examples where failure to include dental research findings has limited progress and led to adverse health outcomes. The impetus to overcome the dental-medical research divide gains further urgency today in light of the coronavirus pandemic where contributions that dental research can make to understanding the pathophysiology of the SARS-CoV-2 virus and in diagnosing and preventing infection are described. Eliminating the research divide will require collaborative and trans-disciplinary research to ensure incorporation of dental research findings in broad areas of biomedical research. Enhanced communication, including interoperable dental/medical electronic health records and educational efforts will be needed so that the public, health care providers, researchers, professional schools, organizations, and policymakers can fully utilize oral health scientific information to meet the overall health needs of the public.

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Reducing missed oral care opportunities to prevent non-ventilator associated hospital acquired pneumonia at the Department of Veterans Affairs

Cited by 32 publications

References 19 publications

(Lack of) oral hygiene care for hospitalized elderly patients

(Lack of) oral hygiene care for hospitalized elderly patients

The Oral and Gut Bacterial Microbiomes: Similarities, Differences, and Connections

A Perspective: Integrating Dental and Medical Research Improves Overall Health

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