Implementation of a hospital oral care protocol and recording of oral mucositis in children receiving cancer treatment

Qutob, Akram; Allen, Gabrielle; Gue, Sam; Révész, Tamás; Logan, Richard M.; Keefe, Dorothy

doi:10.1007/s00520-012-1633-2

Cited by 42 publications

(37 citation statements)

References 27 publications

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“…124 A definitive dental treatment plan that includes oral hygiene reduces the incidence and severity of mucositis and may prevent infections and decrease infection-related mortality. 121,[125][126][127] In a small prospective evaluation of periodontal disease in adult HCT recipients, periodontal status correlated with frequency of bacteremia, particularly due to viridans streptococci and Staphylococcus epidermidis. 118 Recent oral care guidelines recommend brushing with an ultra-soft toothbrush two to three times daily and using non-flavored chlorhexidine gluconate 0.12-0.2% solution as an oral antiseptic twice daily when oral hygiene is suboptimal after HCT.…”

Section: Bloodstream Infection Preventionmentioning

confidence: 99%

Bacterial bloodstream infections in the allogeneic hematopoietic cell transplant patient: new considerations for a persistent nemesis

Dandoy

Ardura

Papanicolaou

et al. 2017

Bone Marrow Transplant

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Bacterial bloodstream infections (BSI) cause significant transplant-related morbidity and mortality following allogeneic hematopoietic cell transplantation (allo-HCT). This manuscript reviews the risk factors for and the bacterial pathogens causing BSIs in allo-HCT recipients in the contemporary transplant period. In addition, it offers insight into emerging resistant pathogens and reviews clinical management considerations to treat and strategies to prevent BSIs in allo-HCT patients.

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Section: Bloodstream Infection Preventionmentioning

confidence: 99%

Bacterial bloodstream infections in the allogeneic hematopoietic cell transplant patient: new considerations for a persistent nemesis

Dandoy

Ardura

Papanicolaou

et al. 2017

Bone Marrow Transplant

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“…Con el protocolo instalado en nuestro centro se observa una prevalencia de alrededor del 22%, menos de la mitad de lo reportado en la literatura universal 2,14 . Además, más del 90% de las MO fueron de grado I-II y se resolvieron, con protocolos de manejo terapéutico de la MO, en menos de 7 días.…”

Section: Discussionunclassified

“…Las primeras suelen estar compuestas por cuatro o cinco variables y permiten relacionar el estado global de la boca con la mucositis. El segundo tipo de escalas, en cambio, valoran variables diferentes y su relación con el estado de salud oral y la función; las puntuaciones obtenidas se suman y se obtiene una valoración global de la gravedad de la mucositis [1][2][3][4][5][6] . En 1979, la Organización Mundial de la Salud (OMS) definió el estado de las lesiones de la MO según su gravedad, valorando la tolerancia a la vía oral para poder ingerir alimentos y para hablar, y estableciendo en los pacientes cinco grados del 0 al IV.…”

Section: Introductionunclassified

“…Sin embargo, la acción de la quimioterapia y la radioterapia no es específica, por lo que en el contexto de tratamientos antineoplásicos es frecuente observar daños a tejidos que en condiciones fisiológicas tienen altas tasas de replicación celular. Entre ellos, destaca la toxicidad en las mucosas oral y gastrointestinal [1][2][3][4][5][6] . De acuerdo con una correcta clasificación e identificación de riesgos, las modalidades de tratamiento pueden ser no farmacológicas o con agentes farmacológicos, como la lidocaína y la morfina, que son usadas para el manejo del dolor y de forma paliativa.…”

Section: Introductionunclassified

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Impacto de un protocolo de prevención y atención de mucositis oral en pacientes con diagnóstico oncológico pediátrico

Ávila-Sánchez

Purizaca-Bazán

Félix-Bermúdez

et al. 2022

GAMO

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Resumen Introducción: La mucositis oral (MO) es una complicación frecuente asociada al tratamiento oncológico, y puede ir desde un grado leve a uno grave. Hasta el 80% de los niños sometidos a quimioterapia experimentarán algún grado de MO, que puede llegar a incrementar la mortalidad hasta en un 40% en los casos graves. Aunque la incidencia de MO difiere de acuerdo con el tipo de cáncer y el régimen de tratamiento, los niños con neoplasias hematológicas experimentan una incidencia y una prevalencia mayores que aquellos niños con diagnóstico de tumores sólidos. De acuerdo con lo anterior, la MO llega a representar una causa importante en la reducción de dosis común protocolizada y por lo tanto un retraso en el tratamiento, por lo que este trabajo analiza el impacto que se ha tenido en la prevención y el tratamiento oportuno de la MO, además de contribuir a estadísticas nacionales que aún no se encuentran reportadas. Material y métodos: Estudio retrospectivo y descriptivo de 157 pacientes con diagnóstico oncológico pediátrico atendidos durante el periodo de septiembre de 2014 a junio de 2016 con riesgo de presentar un evento de MO durante su etapa de tratamiento. Resultados: La presentación de MO fue del 21.6% y la prevalencia anual fue del 2.6%, del total de 1731 valoraciones. Conclusiones: Nuestros resultados son prometedores y se propone ampliar el tamaño de la muestra, así como la perspectiva de colaboración con otras instituciones, para promover un protocolo estandarizado del cuidado bucal en niños con diagnóstico oncológico. (creativecommons.org/licenses/by-nc-nd/4.0/). ARTÍCULO ORIGINALImpacto de un protocolo de prevención y atención de mucositis oral en pacientes con diagnóstico oncológico pediátrico

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“…As dental caries is a multifactorial disease, in addition to its biological causes, such as diet and hygiene, which were mentioned by most participants, its control also demands improving people's living conditions reducing social inequalities, increasing the family income and the maternal educational level and ensuring that children have access to schooling [24,25].…”

Section: Discussionmentioning

confidence: 99%

Access to and Satisfaction with Oral Health Care from the Perspective of Pediatric Cancer Patients and Their Caregivers

Carneiro

Ribeiro²,

Neto³

et al. 2015

Pesqui. bras. odontopediatria clín. integr.

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Objective: To investigate the access to dental care and the oral health care provided to cancer patients aged zero to 19 years old; to detect possible difficulties hindering the delivery of oral health care; and to identify the main oral complications associated with anticancer treatment. Material and Methods: Interviews were conducted with 84 children and adolescents (or their caregivers) who were treated at Napoleão Laureano Hospital, João Pessoa County, Paraíba, Brazil; the interviews were recorded in audio files. The data were analyzed based on systematic reading of the interviews according to the content analysis technique. Results: Six categories were established: Access to health care services, which was reported as posing difficulties by only 16.6% of the sample; Access to the hospital, considering that 40.4% of the participants reported traveling to the hospital in cars provided by the city government; Dental care, which was procured at basic health units (BHUs) by 52.3% of the participants; Conceptions on oral health care, in which 64.2% of the participants mentioned cariogenic diets and/or poor oral hygiene; Quality of life perception, whereby 70.2% of the interviewees reported to be satisfied or very satisfied and 63.0% rated their quality of life good or very good; and Health problems derived from treatment, with nausea being the most mentioned (27.2%). Conclusion: The patients did not meet difficulties in the procurement of dental care, which was most often sought at BHUs; they were satisfied or very satisfied with their health and rated their quality of life as good or very good.

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Implementation of a hospital oral care protocol and recording of oral mucositis in children receiving cancer treatment

Abstract: Mutual understanding and collaboration between the oncology and dental departments in hospitals is crucial for standardizing patient care and for improving oral care standards.

Cited by 42 publications

References 27 publications

Bacterial bloodstream infections in the allogeneic hematopoietic cell transplant patient: new considerations for a persistent nemesis

Bacterial bloodstream infections in the allogeneic hematopoietic cell transplant patient: new considerations for a persistent nemesis

Impacto de un protocolo de prevención y atención de mucositis oral en pacientes con diagnóstico oncológico pediátrico

Access to and Satisfaction with Oral Health Care from the Perspective of Pediatric Cancer Patients and Their Caregivers

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