A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque

Pearson, Linda; Hutton, Jane

doi:10.1046/j.1365-2648.2002.02313.x

Cited by 91 publications

(67 citation statements)

References 25 publications

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“…17,20,21 Although oral swabbing may provide comfort, it is not as effective as toothbrushing, in which motions of bristles physically remove dental plaque, which can become a breeding ground for pathogenic bacteria. 9,22 However, toothbrushing is practiced less often, with only 39% to 65% of nurses brushing their patients' teeth every 12 hours or more often. 17,20 Institutional guidelines or recommendations, terms that are used interchangeably in this article, provide directions and expectations for nursing practice and are one of the top sources of information for nurses.…”

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confidence: 99%

Influence of Institutional Guidelines on Oral Hygiene Practices in Intensive Care Units

Kiyoshi‐Teo

Blegen

2015

American Journal of Critical Care

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Background Maintaining oral hygiene is a key component of preventing ventilator-associated pneumonia; however, practices are inconsistent. Objectives To explore how characteristics of institutional guidelines for oral hygiene influence nurses' oral hygiene practices and perceptions of that practice. Methods Oral hygiene section of a larger survey study on prevention of ventilator-associated pneumonia. Critical care nurses at 8 hospitals in Northern California that had more than 1000 ventilator days in 2009 were recruited to participate in the survey. Twenty-one questions addressed oral hygiene practices and practice perceptions. Descriptive statistics, analysis of variance, and Spearman correlations were used for analyses. Results A total of 576 critical care nurses (45% response rate) responded to the survey. Three types of institutional oral hygiene guidelines existed: nursing policy, order set, and information bulletin. Nursing policy provided the most detail about the oral hygiene care; however, adherence, awareness, and priority level were higher with order sets (P < .05). The content and method of disseminating these guidelines varied, and nursing practices were affected by these differences. Nurses assessed the oral cavity and used oral swabs more often when those practices were included in institutional guidelines. Conclusions The content and dissemination method of institutional guidelines on oral hygiene do influence the oral hygiene practices of critical care nurses. Future studies examining how institutional guidelines could best be incorporated into routine workflow are needed. (American Journal of Critical Care. 2015;24:309-317) 2 VAP increases the duration of mechanical ventilation and hospital length of stay by a mean of 7 to 9 days, 2 costing $10 000 to $40 000 per case. 3-6Maintaining oral hygiene is one of the key components of VAP prevention. [7][8][9][10][11] For intubated patients, endotracheal tube placement provides a direct pathway for bacteria to enter the body, reduces the cough reflex, and decreases salivary flow, which inhibits mechanical removal of plaque by saliva.9 Ideally, oral hygiene care of patients receiving mechanical ventilation should consist of oral cavity assessment, swabbing the oral cavity using an oral swab or "toothette," toothbrushing, suctioning, oral rinse, and providing moisture.12 Professional organizations recommend that hospitals implement comprehensive oral hygiene programs to prevent VAP. 13,14 However, professional recommendations often lack the specifics needed to be practical in bedside practice. 7,15The American Association of Critical-Care Nurses (AACN) guideline 14 presents one of the most comprehensive lists of oral hygiene recommendations. Their recommendations are as follows: (1) brush teeth, gums, and tongue at least twice a day using a soft pediatric or adult toothbrush; (2) provide oral moisture to oral mucosa and lips every 2 to 4 hours; and (3) use an oral chlorhexidine gluconate (0.12%) rinse twice a day during the perioperative period for...

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confidence: 99%

Influence of Institutional Guidelines on Oral Hygiene Practices in Intensive Care Units

Kiyoshi‐Teo

Blegen

2015

American Journal of Critical Care

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“…Although tooth brushing has been deemed best for oral care, the literature reports contrary nursing practice, 4,18 or nurses consider it problematic for intubated patients. 19 This RCT therefore offers a unique perspective on intracranial stability during manual and electrical tooth brushing in 47 intubated neuroscience ICU patients based on serial recordings of ICP and CPP.…”

Section: Discussionmentioning

confidence: 99%

“…4 Although tooth brushing is a fundamental component of bedside care, its safety in terms of intracranial dynamics, including different methods of tooth brushing, has not been thoroughly investigated. Tooth brushing can be performed with a manual or electric toothbrush, but which method is most effective in promoting oral hygiene and possibly reducing ventilator-acquired pneumonia (VAP) is unknown.…”

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confidence: 99%

Electric Versus Manual Tooth Brushing among Neuroscience ICU Patients: Is it Safe?

2011

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“…Süngerli çubuklar ağız içi mukozal dokunun uyarımında etkilidirler. Süngerli çubukların ağız içindeki plakları yok etme özelliği yoktur (Abidia 2007;Pearson &Hutton 2002). Ağız bakımında kullanılan başka bir malzeme olan diş fırçası, plağı uzaklaştırmada en etkin yollardan biridir.…”

Section: Introductionunclassified

“…Ağız bakımında diş fırçasının kullanılmasının mekanik ventilatöre bağlı hastalar için de en iyi ve en etkin araç olduğu ifade edilmektedir. Ventilatöre bağlı hastalarda sakşınlı diş fırçası ile verilen ağız bakımının daha etkili olduğu belirtilmektedir (Berry et al 2011;Pearson & Hutton 2002).…”

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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A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque

Cited by 91 publications

References 25 publications

Influence of Institutional Guidelines on Oral Hygiene Practices in Intensive Care Units

Influence of Institutional Guidelines on Oral Hygiene Practices in Intensive Care Units

Electric Versus Manual Tooth Brushing among Neuroscience ICU Patients: Is it Safe?

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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