Dental Hygiene Intervention to Prevent Nosocomial Pneumonias

Barnes, Caren M.

doi:10.1016/j.jebdp.2014.02.002

Cited by 48 publications

(76 citation statements)

References 57 publications

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“…This particular bill argues that preventive dental procedures are inexpensive and able to effectively reduce the nosocomial pneumonia and ventilator-associated pneumonia (VAP) rates in critically ill patients, as well as to reduce hospital costs associated with prolonged hospitalizations [4,12,[14][15][16][27][28][29].…”

Section: The Bill In Brazilmentioning

confidence: 99%

“…Other factors also predispose ICU patients to develop pneumonia, namely: the use of endotracheal tube, the deficient cleaning performed by the nursing team, as well as the complexity of the oral biofilm found on the patients' teeth and tongue and, mainly, in the ICU equipment [12,14,18,31,33].…”

Section: Dentistry In Icusmentioning

confidence: 99%

“…Others present poor oral hygiene symptoms during hospitalization, only. The deficient hygiene of dental prostheses ( Figure 1) and of the oral cavity performed by the patients themselves and/or by the nursing staff, as well as the patient's sedation state, the presence or absence of mechanical ventilation and the dietary regime are factors that directly influence the oral health of ICU patients, since they may favor biofilm accumulation, tongue coating (Figure 2), periodontal diseases (gingivitis, periodontitis) (Figure 3), tooth root remains (Figure 4), as well as opportunistic infections in the mouth due to immunosuppression and decreased salivary flow resulting from the action of the medication delivered to these patients [5,14,17,23,40,41]. …”

Section: Main Health Issues Presented By Icu Patientsmentioning

confidence: 99%

“…Thus, such fact may contribute, among other consequences, to the worsening of the patients' general health condition -as in the case of pneumonia acquired in hospital environments -and, consequently, to prolong hospitalization time [2,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…The presence of biofilm and tongue coating in large quantities and its complexity, as well as the poor oral hygiene and periodontal diseases found in critically ill patients, are factors that may favor the development of severe respiratory tract infections, such as nosocomial or hospital-acquired pneumonia, which is the second largest hospitalacquired infection presenting up to 50% chance of mortality and bacterial endocarditis [11,12,14,18].…”

Section: Introductionmentioning

confidence: 99%

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Oral Health and Care at Intensive Care Units

Àlex¹,

Mir²

2016

J Nurs Care

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Hospitalized patients and patients treated in Intensive Care Units (ICUs) are at high risk of contracting infectious diseases, mainly lung diseases resulting from respiratory pathogens found in the oral cavity due to deficient oral health maintenance. This problem could be avoided through preventive actions that require minimum intervention. The surface of the tooth, tongue and prostheses, as well as the ICU devices in contact with the patients' mouth, is large reservoirs for pathogens. Thus, cleaning the patients' mouth and removing infection foci may positively influence the quality of life and well-being of critically ill patients. The aim of the current study is to address the importance of having dentists in the health teams working in ICUs, as well as the activities performed, the necessary dental care and the relation between oral and systemic conditions. The study was approved by the Ethics Committee of the Catholic University of Brasília, Brazil, under protocol number CAAE 44578215.0.0000.0029. It was concluded that the lack of preventive measures, as well as the deficient oral cavity hygiene and clinical care in ICUs, are risk factors for the development of systemic diseases, mainly of diseases affecting the respiratory and cardiological tracts; therefore, the participation of dental surgeons in the interdisciplinary team is crucial to promote health in hospital environments.

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Section: The Bill In Brazilmentioning

confidence: 99%

Section: Dentistry In Icusmentioning

confidence: 99%

Section: Main Health Issues Presented By Icu Patientsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Oral Health and Care at Intensive Care Units

Àlex¹,

Mir²

2016

J Nurs Care

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Oral health promotion in patients with chronic renal failure admitted in the Intensive Care Unit

Miranda

Lia

Carvalho

et al. 2015

Clinical Case Reports

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Preliminary investigation of family caregiver burden and oral care provided to homebound older patients

Ohara

Iwasaki

Motokawa

et al. 2021

Clinical & Exp Dental Res

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Objectives: Family caregivers play an important role in maintaining the oral health of homebound older adults. Thus, this preliminary study investigated family caregivers' burdens and the oral care they provide to homebound older patients. Material and Methods:A cross-sectional survey was conducted. A questionnaire was distributed to 230 family caregivers of homebound older patients. We used the Japanese version of the Zarit Burden Interview (J-ZBI) to measure caregiver burden. The cut-off score for the J-ZBI was 21 points. Caregivers with a care burden score below 21 points formed the mild group, while those scoring 21 points or more were included in the moderate/severe group. The differences between the groups were examined. The implementation status of oral care was assessed by the amount of time caregivers spent providing oral care and related concerns. The degree of independence for homebound older patients was measured using the Barthel Index. Multiple logistic regression analyses were conducted to determine the factors associated with the severity of caregiver burden.Results: A total of 114 caregivers returned the questionnaires by mail (response rate: 49.6%). The moderate/severe care burden group represented 80.7% of the caregivers. A multiple logistic regression analysis revealed that the level of patient independence and time spent performing oral care were significantly associated with the severity of caregiver burden. Conclusions:The results show that family caregivers experiencing high caregiver burden spent less time providing oral care than caregivers who reported less caregiver burden. Thus, support for oral health management provided by oral health professionals is considered necessary for family with a high caregiver burden of homebound older patients.caregiver, home care service, homebound, oral hygiene | INTRODUCTIONOral health is determined by multiple factors within older populations (Wong et al., 2019). Comprehensive oral health management is necessary for homebound older patients who require long-term care in their daily lives, as previous studies have reported that they have dental care needs such as periodontal treatment and denture replacement (Gluzman

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Dental Hygiene Intervention to Prevent Nosocomial Pneumonias

Cited by 48 publications

References 57 publications

Oral Health and Care at Intensive Care Units

Oral Health and Care at Intensive Care Units

Oral health promotion in patients with chronic renal failure admitted in the Intensive Care Unit

Preliminary investigation of family caregiver burden and oral care provided to homebound older patients

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