Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults

Zuckerman, Lisa M.

doi:10.1097/dcc.0000000000000154

Cited by 18 publications

(12 citation statements)

References 9 publications

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“…Many studies have shown the effectiveness of oral hygiene management, including the application of CHX, for respiratory disease prevention in ICU patients [6,11,21,41,47,48,51,53,54,56,60,61,[67][68][69][70][71][72][73][74][75][76]. In 2013, Hillier et al reported that the education of nurses on oral care, including CHX application and other oral care methods, reduced the incidence of VAP [3].…”

Section: Outcomes Of Oral Management Of Icu Patientsmentioning

confidence: 99%

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Jun

Kim

et al. 2021

JCM

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This study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords “Hospital dentistry” OR “Oral care” OR “Intensive care unit” OR “Hospital inpatient” OR “Hospitalization” OR “Emergency service” AND “Oral health” OR “Oral hygiene” OR “Dental plaque” was conducted in PubMed, Medline, and Google Scholar to identify publications reporting on the oral care of the patients admitted to ICUs. A total of 17,400 articles were initially identified. Of these, 58 were selected and classified into three categories for critical review. Seven of these studies evaluated the oral status of ICU patients, and most of the studies indicated that ICU patients had poor oral hygiene or required active dental treatment. Thirty-three of these studies evaluated oral care methods for ICU patients, and in general, oral care methods using chlorhexidine as adjuncts along with tooth brushing were recommended. However, there were insufficient studies to evaluate oral hygiene through effective assessment tools from a dental perspective. In 36 studies on the outcomes of oral care in ICU patients, interventions by dental professionals showed effective results in preventing hospital-acquired infection. This review highlights the importance of establishing guidelines for the evaluation of oral status in ICU patients and summarizes data that may be useful for future studies. Further studies on maintaining good oral hygiene among ICU patients are needed.

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Section: Outcomes Of Oral Management Of Icu Patientsmentioning

confidence: 99%

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Jun

Kim

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…In support of the relevance of these findings, improving oral hygiene and cleansing in at risk patients (ICU patients and elderly) have been advocated to prevent the occurrence of aspiration pneumonia, hospital-acquired pneumonia (HAP), and VAP. The use of chlorhexidine mouthwash reduces the risk of developing VAP but did not show mortality benefit [41,42]. However, all results examining this issue do not show consensus in the conclusions.…”

Section: Dysbiosis In Acute Respiratory Tract Infectionsmentioning

confidence: 95%

The Oral Microbiome and Lung Diseases

Seshadri

Manuballa

et al. 2020

Curr Oral Health Rep

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Purpose of Review The understanding of the human microbiome, especially of the oral cavity, has expanded exponentially since the advent of 16 rRNA PCR gene sequencing. Since the respiratory tract starts from the oral cavity and ends in the lung, study of the relationship between the oral microbiota and the lungs will allow us to understand the changes in lung disease compared with healthy state. Recent Findings The oral and lung microbiota were found to be similar, but the oral microbiota had greater diversity. The oral cavity especially the dorsal tongue was found to be a reservoir for bacteria causing pneumonia and chronic lung infection in cystic fibrosis. Oral and lung infections seem to all share the similar pathogenesis of oral microbiota dysbiosis. Certain oral bacteria were found to be potential biomarkers for lung cancer. Summary Improvement in oral health is important especially in the management of lung diseases with infectious etiology. Oral microbiota can serve as biomarkers for diseases especially in lung cancer.

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“…Solutions for oral care may use chlorhexidine, saline solution, and purified water. Studies showed that even a concentration of 0.12% to 0.2% chlorhexidine was still effective for prevention of VAP (Ames et al., 2011; Liao et al., 2015; Needleman et al., 2011; Zuckerman, 2016). Third, the frequency of oral care varied between different studies.…”

Section: Literature Reviewmentioning

confidence: 99%

The Effectiveness of Oral Care Guideline Implementation on Oral Health Status in Critically Ill Patients

2019

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Intubated patients need specific oral care due to the use of endotracheal tubes. An oral nursing care guideline needs to be implemented to guide nurses in oral care in intubated patients. To test the effectiveness of oral nursing care guideline implementation. The Rogers' Diffusion of Innovations Theory was used to introduce an oral nursing care guideline to 28 nurses working in an intensive care unit in a hospital within 2 months, using mass and private communication within a hospital management system. The oral care guideline was introduced to 47 intubated patients. The accuracy of oral care practice was assessed by nurse research assistants, and patients' oral health status was examined by dental nurse research assistants. The accuracy of practice among nurses was found between 88% and 100%. Total 97.47% (n ¼ 46) of patients had an acceptable oral health status after receiving oral care based on the oral nursing care guideline. The oral nursing care guideline was effectively implemented with high accuracy and could increase patient oral integrity after its implementation.

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Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults

Cited by 18 publications

References 9 publications

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

The Oral Microbiome and Lung Diseases

The Effectiveness of Oral Care Guideline Implementation on Oral Health Status in Critically Ill Patients

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