Survey of oral care practices in US intensive care units

Binkley, Catherine J.; Furr, L. Allen; Carrico, Ruth; McCurren, Cynthia

doi:10.1016/j.ajic.2003.05.001

Cited by 128 publications

(162 citation statements)

References 25 publications

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“…Binkley et al [43] conducted a survey of nurses' attitudes and beliefs regarding oral care in 102 intensive care units in the U.S. Oral care was rated as a high priority, especially for mechanically ventilated patients.…”

Section: Oral Care Training For Nursing Staffmentioning

confidence: 99%

The Association Between Oral Microorgansims and Aspiration Pneumonia in the Institutionalized Elderly: Review and Recommendations

2010

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Aspiration pneumonia is a leading cause of illness and death in persons who reside in long-term-care facilities and, combined with the lack of proper oral health care and services, the risk of aspiration pneumonia rises. The purpose of this article is to review recent literature on oral hygiene and oral care in long-term-care facilities and report new findings regarding associated risks for aspiration pneumonia, as well as research on oral care and health outcomes. The PubMed MeSH database was utilized to direct a specific search by entering terms "aspiration pneumonia" and "oral hygiene" from 1970 to 2009, which yielded 34 articles. The Ovid and Google Scholar databases were utilized as well and provided no additional references for the two terms. A manual search of references from other articles, including three systematic reviews published over the past decade, provided additional information regarding oral microorganisms and respiratory pathogens, as well as investigations of oral care. Finally, a brief but comprehensive introductory review was organized regarding oral microorganisms, biofilm, periodontal disease, and pneumonia to establish a framework for discussion. Overall, studies suggest (1) an association between poor oral hygiene and respiratory pathogens, (2) a decrease in the incidence of respiratory complications when patients are provided chemical or mechanical interventions for improved oral care, (3) the complex nature of periodontal disease and aspiration pneumonia make direct connections between the two challenging, and (4) additional studies are warranted to determine adequate oral hygiene protocols for nursing home patients to further reduce the incidence of aspiration pneumonia.

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Section: Oral Care Training For Nursing Staffmentioning

confidence: 99%

The Association Between Oral Microorgansims and Aspiration Pneumonia in the Institutionalized Elderly: Review and Recommendations

2010

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“…Antibacterial rinse applications, foam swabs and tooth brushing have shown to have variable effects on VAP reduction (Augustyn, 2007;Binkley et al, 2004;Fields, 2008;Fourrier et al, 2005;Grap et al, 2003;Houston et al, 2002;Hutchins et al, 2009;Koeman et al, 2006;Pearson and Hutton, 2002;Schleder, 2003).…”

Section: Discussionmentioning

confidence: 96%

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

Johnson¹,

Domb²,

Johnson³

2012

Intensive and Critical Care Nursing

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“…Several studies have documented benefit of selective oral decontamination in adults [17][18][19]. Surveys performed in the US and UK suggested that oral care methods were not consistent with current research and oral care protocols [20,21]. Results of a prospective study in a British PICU revealed a highly significant increase in plaque accumulation and gingival inflammation between admission to the PICU and discharge [22].…”

Section: Monitoringmentioning

confidence: 92%

Supportive Care of A Critically Ill Child

2010

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The goal of pediatric intensive care is early identification, severity assessment and resuscitation of critical patients by utilizing standardized protocols. The primary or precipitating disorder should be the focus of attention and specific intervention. But in order to provide holistic care to a patient, due attention should also be rendered to supportive care. Monitoring of sick children in PICU is an essential part of management. Various monitoring technologies add to the clinical monitoring but cannot replace clinical monitoring. The treating team should follow a checklist to ensure all aspects of supportive care are taken care of in every patient. Due attention should be paid to glucose control, skin and eye care, oral hygiene, prevention of stress ulcer, care of various lines and catheters and prevention of nosocomial infections.

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Survey of oral care practices in US intensive care units

Cited by 128 publications

References 25 publications

The Association Between Oral Microorgansims and Aspiration Pneumonia in the Institutionalized Elderly: Review and Recommendations

The Association Between Oral Microorgansims and Aspiration Pneumonia in the Institutionalized Elderly: Review and Recommendations

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

Supportive Care of A Critically Ill Child

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