The Effect of Professional Oral Care on the Oral Health Status of Critical Trauma Patients Using Ventilators

Abstract

Background: Oral care reduces the incidence of ventilator-associated pneumonia. In addition, it is important that critically ill patients to maintain their oral health in order to restore their quality of life and to receive adequate nutrition after recovery. Objective: The purpose of this study was to evaluate the effect of professional oral hygiene care (POHC) on the oral health status of patients using a ventilator. Methods: Fifty-seven ventilated trauma patients were admitted to a tertiary medical institution. For 5 days, the dental hygienist performed POHC every 24 h along with routine oral hygiene care (ROHC) every 8 h for the experimental group (Exp.) (n = 29), whereas only ROHC was provided the control group (Cont.) (n = 28). Oral health status was evaluated using a modified bedside oral exam (MBOE). Results: There was no significant difference between the two groups in the total MBOE score up to 48 h after admission. However, the difference between the two groups was significant for MBOE (F = 16.10, p = 0.000), gingiva (F = 6.02, p = 0.018), buccal mucosa (F = 4.21, p = 0.046), and dental plaque score after 72 h (F = 13.15, p = 0.000). Conclusion: This study confirms the importance of POHC in improving the oral health.

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Efektivitas Oral Care dengan Chlorhexidine dalam Mencegah Ventilator Associated Pneumonia: Systematic Review

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Cuidados de enfermería en la higiene bucal de pacientes intubados. Revisión de la Literatura

“…Los pacientes hospitalizados en unidades críticas tienen afecciones subyacentes graves y sistemas inmunitarios debilitados, están expuestos a riesgos tales como problemas invasivos y patógenos de enfermedades tolerantes o resistentes a múltiples fármacos. Por tanto, es muy probable que contraigan infecciones secundarias que en el caso de pacientes intubados la más frecuente es la neumonía debido a la falta o inadecuada higiene bucal 1 .…”