2000
DOI: 10.1054/iccn.2000.1531
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Biting back at poor oral hygiene

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Cited by 51 publications
(66 citation statements)
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“…Additionally, many drugs, including antihypertensives, antihistamines, anticonvulsants, antineoplastics, sympathomimetics, and diuretics, can cause changes in salivary flow, the swallowing reflex, the ability to deliver self-care, systemic and local immune system functioning, and the physical and chemical properties of the microbial flora by modifying the microbial colonization of the oral cavity, thus predisposing patients to VAP. 16 We investigated several medications used routinely in intensive care; however, unlike other investigators, [7][8][9][10][11] we did not detect an association between the use of any such medication and the development of VAP (with the sole exception of vasoactive drugs). Interestingly, we did not find any previously reported association between the use of vasoactive drugs and the occurrence of VAP.…”
Section: Discussionmentioning
confidence: 57%
“…Additionally, many drugs, including antihypertensives, antihistamines, anticonvulsants, antineoplastics, sympathomimetics, and diuretics, can cause changes in salivary flow, the swallowing reflex, the ability to deliver self-care, systemic and local immune system functioning, and the physical and chemical properties of the microbial flora by modifying the microbial colonization of the oral cavity, thus predisposing patients to VAP. 16 We investigated several medications used routinely in intensive care; however, unlike other investigators, [7][8][9][10][11] we did not detect an association between the use of any such medication and the development of VAP (with the sole exception of vasoactive drugs). Interestingly, we did not find any previously reported association between the use of vasoactive drugs and the occurrence of VAP.…”
Section: Discussionmentioning
confidence: 57%
“…These are cancer patients receiving chemotherapeutic or radiotherapeutic treatment, the institutionalized elderly and patients in a critical care environment. [1][2][3] All critically ill patients or those with a generally debilitated condition may suffer from poor oral health. Of all patients admitted to ICUs, those who are intubated and on mechanical ventilation are at especially increased risk for bad oral health, because of a number of physiological, pathologic, mechanical, and immunologic factors.…”
mentioning
confidence: 99%
“…Compared with adult ICU patients, PICU children have a number of differences that may increase their risk of developing VAP (6,7). Although, all of the evidence-based VAP prevention protocols do not recommend the same procedure, all of them include the comprehensive oral care /oral hygiene interventions (8)(9)(10)(11).…”
Section: Introductionmentioning
confidence: 99%