Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study

Bergan, Eduardo Henry; Tura, Bernardo Rangel; Lamas, Cristiane da Cruz

doi:10.1007/s00134-013-3049-y

Cited by 57 publications

(59 citation statements)

References 33 publications

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“…Real major advances will come from rapid PCR point-of-care techniques, but these results are not yet available. In 2014, Bos et al [44] published an article in the What's New in Intensive Care section on potential innovations that could improve early recognition of VAP. Those authors suggested that new techniques are promising in detecting airway colonization and pulmonary infection at the early phase.…”

Section: Ventilatory-acquired Pneumoniamentioning

confidence: 99%

Asynchronies during mechanical ventilation are associated with mortality

et al. 2015

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Section: Ventilatory-acquired Pneumoniamentioning

confidence: 99%

Asynchronies during mechanical ventilation are associated with mortality

et al. 2015

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“…With regard to the preoperative environment, it is suggested that the use of a simple oral hygiene protocol can reduce postoperative pneumonia [13].…”

Section: Oral Carementioning

confidence: 99%

Making Wise Choices When Incorporating Technology for Infection Control Prevention

Biasuz

Espig

D’Aló

et al. 2013

Curr Treat Options Infect Dis

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Healthcare workers are challenged with providing quality care in a variety of clinical settings, while optimizing the use of available resources. Although various novel approaches in preventing hospital-acquired infections (HAIs) have been introduced, best practices have yet to be consolidated. The use of sophisticated technology such as antiinfective devices can improve yields and reduce nosocomial infections while optimizing the use of staff time, but we would emphasize that this benefit is modest in most cases, and is easily undone when the focus of concern lies not in the attention to proper aseptic technique, judicious use, and adequate clinical setting for these devices, but on poor implementation that relies only on their infection-prevention properties. This paper intends to review recent publications in key target areas regarding the prevention of HAIs and to discuss the incorporation of technology to achieve overall improvement in the healthcare setting. PurposeHealthcare workers are challenged with providing quality care in a variety of clinical settings, while optimizing the use of available resources. As physicians, we seek to offer our patients the best possible medical attention, and making use of available evidence is of paramount importance. Unfortunately, the high cost of some of the industry's technological interventions may restrict their applicability.Certain advances in infection control practices and crosscontamination prevention have been difficult to implement, especially when low adherence, varying protocols, and equipment availability are taken into account. Although there have been novel approaches to preventing hospital-acquired infections (HAIs), best practices have yet to be consolidated. This paper will review recent publications in key target areas regarding the prevention of HAIs and will discuss the incorporation of technology to achieve overall improvement in the healthcare setting.

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“…30 It remains uncertain, however, whether such an approach could reduce the rate of VAp in surgical patients. Bergan et al 31 tried to reduce the rate of postoperative pneumonia in cardiac surgery patients by implementing a care bundle focused on optimizing oral health before surgery. patients were taught how to brush teeth and tongue and how to clean their jugal and palatal membranes.…”

Section: Ventilation and Sedationmentioning

confidence: 99%

Recent Advances in Multidisciplinary Critical Care

Blot

Afonso

Labeau

2015

American Journal of Critical Care

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The intensive care unit is a work environment where superior dedication is crucial for optimizing patients' outcomes. As this demanding commitment is multidisciplinary in nature, it requires special qualities of health care workers and organizations. Thus research in the field covers a broad spectrum of activities necessary to deliver cutting-edge care. However, given the numerous research articles and education activities available, it is difficult for modern critical care clinicians to keep up with the latest progress and innovation in the field. This article broadly summarizes new developments in multidisciplinary intensive care. It provides elementary information about advanced insights in the field via brief descriptions of selected articles grouped by specific topics. Issues considered include care for heart patients, mechanical ventilation, delirium, nutrition, pressure ulcers, early mobility, infection prevention, transplantation and organ donation, care for caregivers, and family matters.

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Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study

Abstract: PP rates were reduced using a simple and efficient protocol of dental care that improved oral hygiene in the preoperative period of cardiac surgery patients.

Cited by 57 publications

References 33 publications

Asynchronies during mechanical ventilation are associated with mortality

Asynchronies during mechanical ventilation are associated with mortality

Making Wise Choices When Incorporating Technology for Infection Control Prevention

Recent Advances in Multidisciplinary Critical Care

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