Pre versus post application of a 0.12% chlorhexidine based oral hygiene protocol in an Egyptian pediatric intensive care unit: Practice and effects

Gomaa, Mohamed Mustafa; Wahba, Yahya; El-Bayoumi, Mohammed Attia

doi:10.1016/j.ejccm.2017.11.002

Cited by 2 publications

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“…Quanto ao posicionamento do paciente, manter a cabeceira elevada entre 30º e 45º também foi abordada na amostra como medida preventiva. Todavia, apenas um estudo em Unidade de Terapia Intensiva Neonatal adotou essa medida, o que demonstra limi-tação quanto à elevação da cabeceira nessas unidades, uma vez que o manejo do neonato para essa situação se torna menos acessível (18) .…”

Section: Discussionunclassified

“…Quanto aos dispositivos, a indicação e os cuidados com o sistema de aspiração também foram descritos na amostra. Os cuidados com o circuito do ventilador e os umidificadores foram apresentados, nos quais se indica a remoção do condensado do circuito ventilatório, mantendo-o fechado durante a remoção e troca do circuito, somente quando estiver visivelmente sujo ou com mau funcionamento (18) . Os cuidados com inaladores e nebulizadores também foram relatados na amostra como medidas relevantes de prevenção de infecção da pneumonia relacionada à assistência à saúde.…”

Section: Discussionunclassified

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Measures used in intensive care units to prevent infection: an integrative review

et al. 2020

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Objective: to verify measures used in intensive care units to prevent infection related to health care. Methods: integrative review based on the data sources LILACS, SCOPUS, PubMed Central, Science Direct, Web of Science and CINAHL, whose descriptors used were: Infection Control and Intensive Care Units. Sample consisting of 146 studies. Results: thematic categories related to the relevant infection prevention measures were listed, developed in Intensive Care Units: bloodstream infection prevention measures, assistance-related pneumonia prevention measures, urinary tract infection prevention measure and preventive measures associated with general care. Conclusion: among the established thematic categories, care with skin preparation, oral hygiene, correct handling of the urinary catheter and daily bath with antiseptic were most frequently identified.

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Measures used in intensive care units to prevent infection: an integrative review

et al. 2020

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Risk factors of ventilator-associated pneumonia in children in an Egyptian University Children’s Hospital

Noaman

2021

Alexandria Journal of Pediatrics

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Aim To evaluate the risk factors that contribute to the development of ventilator-associated pneumonia (VAP) in children. Settings and design A prospective observational study was conducted. The study was done in pediatric intensive care unit (PICU) at Mansoura University Children’s Hospital, Egypt, over 1 year. The study included 154 patients. Patients and methods Many variables were analyzed such as demographic characteristics; previous hospital and PICU admission; drugs used such as inotropes, steroids, sedatives, H2 blockers, or proton pump inhibitors; nutritional therapies; chronic illnesses; invasive procedures such as central line insertion; duration of mechanical ventilation (MV); and PICU stay before development of VAP. Statistical analysis used All patients were assessed by Pediatric Risk of Mortality Score III in the first 24 h and evaluated for VAP by daily clinical examination and by radiological and laboratory evaluation. Results Duration of MV and PICU stay (before development of VAP) markedly increased the incidence of VAP (P value for both was <0.001). Steroid and sedative increased the incidence of VAP significantly (P=0.001 and 0.007, respectively). Conclusions Use of steroids and sedatives, prolonged MV, and length of PICU stay are the main risk factors that contribute toward the increased risk of VAP development in Mansoura University Children’s Hospital intensive care.

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Pre versus post application of a 0.12% chlorhexidine based oral hygiene protocol in an Egyptian pediatric intensive care unit: Practice and effects

Cited by 2 publications

References 28 publications

Measures used in intensive care units to prevent infection: an integrative review

Measures used in intensive care units to prevent infection: an integrative review

Risk factors of ventilator-associated pneumonia in children in an Egyptian University Children’s Hospital

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