Brushing Teeth With Purified Water to Reduce Ventilator-Associated Pneumonia

Yao, Liwei; Chang, Cheng; Maa, Suh Hwa; Wang, Charlotte; Chen, Chia‐Hui

doi:10.1097/jnr.0b013e318236d05f

Cited by 52 publications

(115 citation statements)

References 22 publications

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“…Yapılan değerlendirmede gruplar arasında fark olduğu, bu farklılığın sakşınlı diş fırçası grubundan kaynaklandığı saptanmıştır (Tablo 2). Literatür mekanik ventilatöre bağlı bireylerde ağız sorunlarının önlenmesinde ve azaltılmasındaki sakşınlı diş fırçası ile verilen ağız bakımının etkisini ortaya koymaktadır (Berry 2013;Boop et al 2006;El-Rabbany et al2005;Schleder, Stott & Lylod 2002;Yao et al 2011).…”

Section: Discussionunclassified

“…Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi. Journal of Human Sciences, 14(4), 4507-4519. doi:10.14687/jhs.v14i4.4948 4516 Berry & Davidson 2006;Schleder, Stott & Lylod 2002;Yao et al 2011). Çalışmanın sakşınlı diş fırçasının dişlerde plak oluşumunu azaltmasına ilişkin sonuçlarının literatürü destekler nitelikte olduğu görülmektedir.…”

Section: Discussionunclassified

“…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

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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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Section: Discussionunclassified

Section: Introductionunclassified

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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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“…50 Yao et al (2011) in a randomized controlled study, mentioned that oral care with tooth brush and purified water twice daily decreased VAP development and enhanced oral health and hygiene. 25 …”

Section: Tools Used For Oral Examinationmentioning

confidence: 99%

Oral care in patients on mechanical ventilation in intensive care unit: literature review

Atay

Karabacak²

2014

Int J Res Med Sci

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Association Between Daily Toothbrushing and Hospital-Acquired Pneumonia

Ehrenzeller,

Klompas

2024

JAMA Intern Med

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ImportanceHospital-acquired pneumonia (HAP) is the most common and morbid health care–associated infection, but limited data on effective prevention strategies are available.ObjectiveTo determine whether daily toothbrushing is associated with lower rates of HAP and other patient-relevant outcomes.Data SourcesA search of PubMed, Embase, Cumulative Index to Nursing and Allied Health, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and 3 trial registries was performed from inception through March 9, 2023.Study SelectionRandomized clinical trials of hospitalized adults comparing daily oral care with toothbrushing vs regimens without toothbrushing.Data Extraction and SynthesisData extraction and risk of bias assessments were performed in duplicate. Meta-analysis was performed using random-effects models.Main Outcomes and MeasuresThe primary outcome of this systematic review and meta-analysis was HAP. Secondary outcomes included hospital and intensive care unit (ICU) mortality, duration of mechanical ventilation, ICU and hospital lengths of stay, and use of antibiotics. Subgroups included patients who received invasive mechanical ventilation vs those who did not, toothbrushing twice daily vs more frequently, toothbrushing provided by dental professionals vs general nursing staff, electric vs manual toothbrushing, and studies at low vs high risk of bias.ResultsA total of 15 trials met inclusion criteria, including 10 742 patients (2033 in the ICU and 8709 in non-ICU departments; effective population size was 2786 after shrinking the population to account for 1 cluster randomized trial in non-ICU patients). Toothbrushing was associated with significantly lower risk for HAP (risk ratio [RR], 0.67 [95% CI, 0.56-0.81]) and ICU mortality (RR, 0.81 [95% CI, 0.69-0.95]). Reduction in pneumonia incidence was significant for patients receiving invasive mechanical ventilation (RR, 0.68 [95% CI, 0.57-0.82) but not for patients who were not receiving invasive mechanical ventilation (RR, 0.32 [95% CI, 0.05-2.02]). Toothbrushing for patients in the ICU was associated with fewer days of mechanical ventilation (mean difference, −1.24 [95% CI, −2.42 to −0.06] days) and a shorter ICU length of stay (mean difference, −1.78 [95% CI, −2.85 to −0.70] days). Brushing twice a day vs more frequent intervals was associated with similar effect estimates. Results were consistent in a sensitivity analysis restricted to 7 studies at low risk of bias (1367 patients). Non-ICU hospital length of stay and use of antibiotics were not associated with toothbrushing.ConclusionsThe findings of this systematic review and meta-analysis suggest that daily toothbrushing may be associated with significantly lower rates of HAP, particularly in patients receiving mechanical ventilation, lower rates of ICU mortality, shorter duration of mechanical ventilation, and shorter ICU length of stay. Policies and programs encouraging more widespread and consistent toothbrushing are warranted.

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Brushing Teeth With Purified Water to Reduce Ventilator-Associated Pneumonia

Cited by 52 publications

References 22 publications

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

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

Oral care in patients on mechanical ventilation in intensive care unit: literature review

Association Between Daily Toothbrushing and Hospital-Acquired Pneumonia

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