Dentistry for the critical care patients

Singh, Bishnupati; Giri, TK; Mall, Brajbhushan; Chethan, Megha; Mahadevan, Vallabh; Sinha, Namrata

doi:10.15713/ins.jodm.5

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…Also, the current study mentioned that there was a statistically significant difference after intervention among group one and group two concerning oral cavity assessment scores. These findings are consistent with previous studies conducted by (Grap et al, 2014& Singh et al, 2015 who reported that most mentioned that the majority of the treatment group showed no evidence of infection after oral care with chlorhexidine. From the viewpoint of the researcher, this result might be related to using of toothbrushes over swabs and the use of chlorhexidine mouth rinses in the group one helps in reducing the count of microbes and reduce the prevalence of these infections in the PICU.…”

Section: Discussionsupporting

confidence: 93%

Role of Chlorhexidine in Preventing Mucositis among Ventilated Children at Pediatric Intensive Care Unit

Ebrahim¹,

Ahmed

Eltayeb

et al. 2022

Assiut Scientific Nursing Journal

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Providing oral care hygiene for children at intensive care unit and protecting oral mucosa are important in the promotion of healthy nutrition, comfort, and improving patients' quality of life, as well as preventing mucositis. Aim: to evaluate the role of chlorhexidine in preventing mucositis among ventilated children. Subjects and Method: design: Quasi-experimental research design was used in this study Sample: The study included 60 children (>6 years age) admitted to PICU and needed mechanical ventilation. They were divided into two groups: group one (30 children) who had oral care intervention (tooth brushing and 0.12% Chlorhexidine gluconate solutions) and group two (30 children) who received routine hospital care. Setting: This study was conducted in pediatric intensive care Units at Assiut University Children Hospital. Data collection tools included: socio-demographic and clinical data structured interview questionnaire, oral mucositis assessment scale, and oral cavity assessment tool. Results: The majority of children (93.3%) in group one (study) had a normal oral condition after intervention, compared to 10.0% had normal oral condition in group two (control) after intervention with a highly statistically significant difference between the study and control groups. Conclusion: In mechanically ventilated children, oral care interventions such as tooth brushing and CHX gluconate dramatically reduced the prevalence of mucositis. Recommendations: Chlorhexidine gluconate 0.12% is recommended as a mouth rinse for patients who are intubated orally.

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Section: Discussionsupporting

confidence: 93%

Role of Chlorhexidine in Preventing Mucositis among Ventilated Children at Pediatric Intensive Care Unit

Ebrahim¹,

Ahmed

Eltayeb

et al. 2022

Assiut Scientific Nursing Journal

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“…These infections also result from the critically ill nature of the individuals, immunocompromised patient status and the wide use of invasive procedures in the ICU (Ak, Batirel, Ozer, & Colakoglu, ). ICU patients also commonly experience colonisation of the oral cavity by respiratory pathogens, increasing the likelihood of lung disease (Bansal, Khatri, & Taneja, ) and nosocomial pneumonia (Singh et al, ). Aerobic and facultative anaerobic Gram‐negative bacilli, which have an increased incidence in medically compromised patients, have been associated with pneumonia in ICU patients and septicaemia in chronic obstructive pulmonary disease (COPD) and leukaemia patients (Lam et al, ).…”

Section: Introductionmentioning

confidence: 99%

Oral care practices in non‐mechanically ventilated intensive care unit patients: An integrative review

Emery

Guido-Sanz

2019

Journal of Clinical Nursing

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Aims and objectives To explore current oral care practices in nonmechanically ventilated ICU patients. Background Oral hygiene is an important aspect of nursing care in hospitalised populations. Oral care is a disease preventive and cost‐effective measure for patients, particularly in ICU patients. Numerous studies support the value of oral care practices in mechanically ventilated ICU patients. Due to evidence supporting the benefits of oral care in nonmechanically ventilated patients, it would be beneficial to examine the literature for oral care practices in this population. Methodology Literature searches of the following databases were performed: CINAHL Plus, MEDLINE, PsychInfo, Academic Search Premier, Cochrane Database of Systematic Reviews, and Web of Science. Three peer‐reviewed articles were included in the review after inclusion criteria were applied. Findings were appraised, organised conceptually and synthesised using Torraco (2016b) as a guiding framework. Evidence was appraised using the Johns Hopkins Nursing Evidence‐based Practice Rating Scale. PRISMA reporting guidelines were followed, when applicable. Results Findings support the existing gap in the literature of oral hygiene practices in nonmechanically ventilated ICU patients. Themes included the type of oral care products used, frequencies of oral care, documented oral care practices and personnel that performed the care. Study implications This integrative review identified an important gap in the literature for oral care practices in nonmechanically ventilated ICU patient populations. Further research on current oral care practices and development of evidence‐based guidelines for this population are recommended. Relevance to clinical practice Nurses should provide oral care to all hospitalised patients and follow oral care guidelines specific to their population, if available.

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“…A presença de intubação orotraqueal e a ventilação mecânica também podem estar associadas à proliferação microbiana, uma vez que os microrganismos presentes colonizam o tubo orotraqueal, uma vez que o paciente intubado fica sem o reflexo da tosse pelo rebaixamento do nível de consciência com aumento excessivo na produção de muco. Este fato evidencia a importância da higienização, tanto da cavidade oral, quanto do tubo orotraqueal visando a redução dos microrganismos 20,21 .…”

Section: Discussionunclassified

“…No Brasil cerca de metade dos hospitais apresentam algum serviço odontológico beira-leito nas UTIs, embora ainda seja bastante variável quanto a frequência e qualidade destes atendimentos 25 . É importante ainda, que haja cooperação entre a equipe de enfermagem e o cirurgiãodentista 21,26 , para que desta forma a higiene bucal seja realizada com técnica correta, observando os cuidados técnicos, materiais utilizados e produtos necessários à boa execução, possibilitando a identificação e eliminação de focos infecciosos bucais, os quais são de possível agravo à saúde do paciente naquele momento 9 .…”

Section: Discussionunclassified

Avaliação da Saúde Bucal e Análise Microbiológica de Pacientes em Unidade de Terapia Intensiva

et al. 2022

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Introdução: Pacientes internados em unidade de terapia intensiva (UTI) estão mais suscetíveis ao desenvolvimento de infecções hospitalares, as quais podem ser originadas a partir de focos infecciosos presentes na cavidade oral ou pela ausência de higienização adequada. Objetivo: Avaliar a condição oral e relacionar com as alterações da microbiota durante a permanência dos pacientes internados na unidade de terapia intensiva de um hospital universitário. Métodos: Trata-se de um estudo quantitativo experimental. Foram avaliados 64 pacientes quanto a condição de higiene oral, dados clínicos e coletas microbiológicas realizadas em três momentos distintos: C1, C2 e C3, correspondentes à 24, 72 e 168 horas após à internação. O material coletado foi submetido a sete testes microbiológicos para identificação dos microrganismos presentes. Resultados: O exame clínico apresentou índice de higiene oral simplificado alto em todos os momentos, 25% com cárie ativa, 17% com raízes residuais e 11% com outros focos de infecção. Mais de 50% apresentaram algum grau de ressecamento da mucosa em C1 e nas coletas posteriores se manteve ou aumentou. Quanto ao exame microbiológico foram identificadas 25 colônias distintas de microrganismos, dentre elas Candida sp., Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Proteus mirabilis e Enterobacter, microrganismos com potencial patogênico quando encontrados na cavidade oral. Conclusão: Os fatores clínicos do paciente como o alto índice de higiene oral, presença de focos infecciosos e ressecamento das mucosas associados aos microorganismos com potencial patogênico encontrados na cavidade bucal evidenciam a importância da higiene bucal nas unidades de terapia intensiva, para que com a diminuição do biofilme bucal seja reduzida a quantidade e a patogenicidade destes microrganismos. Reduzindo a ocorrência de infecções nosocomiais, principalmente a pneumonia associada à ventilação mecânica, que consequentemente podem gerar maior permanência do paciente em ambiente hospitalar.

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Dentistry for the critical care patients

Cited by 3 publications

References 27 publications

Role of Chlorhexidine in Preventing Mucositis among Ventilated Children at Pediatric Intensive Care Unit

Role of Chlorhexidine in Preventing Mucositis among Ventilated Children at Pediatric Intensive Care Unit

Oral care practices in non‐mechanically ventilated intensive care unit patients: An integrative review

Avaliação da Saúde Bucal e Análise Microbiológica de Pacientes em Unidade de Terapia Intensiva

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