Ventilator-associated Pneumonia Risk Decreased by Use of Oral Moisture Gel in Oral Health Care

Takeyasu, Yoshihiro; Yamane, Gen-yuki; Tonogi, Morio; Watanabe, Yutaka; Nishikubo, Shuichi; Serita, Ryohei; Imura, Kumiko

doi:10.2209/tdcpublication.55.95

Cited by 9 publications

(15 citation statements)

References 23 publications

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“…However, studies using the modified Oral Assessment Guide have shown that there are no differences in oral hygiene findings with different oral care methods [23,24,40]. In contrast, studies in which dental evaluation, such as plaque score, or objective evaluation, such as bacterial identification, were conducted have shown clear differences in results between various oral care methods, allowing for comparisons of the effects of oral care methods [41][42][43][44][45][46][47][48][49].…”

Section: Oral Hygiene Management Methods For Patients In Icusmentioning

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: Oral Hygiene Management Methods For Patients In Icusmentioning

confidence: 99%

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Jun

Kim

et al. 2021

JCM

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“…12 The literature recommends that oral hygiene protocols be instituted for patients with mechanical ventilation. 5,9 However, the literature is scarce regarding evaluations of the presence of biofilm in patients admitted to ICUs; this research seeks a relationship between different types of edentulous patient conditions and how these and other factors, such as gender, affect the dental element. Prior to this, it is essential to track the factors that contribute to periodontal disease.…”

Section: Original Researchmentioning

confidence: 99%

“…6 In addition, studying the systematic promotion of good oral health in patients admitted to intensive care units (ICUs) is relevant to studies on ventilator-associated pneumonia. 1,2,[6][7][8] The literature has indicated the possibility of developing ventilator-associated pneumonia 1,2,5,7,9 and that bacterial oropharyngeal colonization is an important risk factor, indicating that care in oral intervention can prevent plaque buildup, promote improvement in immunity, and reduce the possibility of developing these infections. 1,[9][10][11] Finally, it is important to evaluate the effect of research that can establish parallels between oral health factors including components of oral microbial flora immunity and dental plaque and how these variables may influence…”

Section: Introductionmentioning

confidence: 99%

Oral Health of Patients Hospitalized in the Intensive Care Unit

Jl¹,

Gd²,

Ga³

et al. 2016

The Journal of Contemporary Dental Practice

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Aim: Oral hygiene technique is an important factor in maintaining the health and comfort of hospitalized patients given the frequent presence of oral biofilm and pathogens brought on by mouth breathing. This is an important practice to assist patients in intensive care, in particular those who are intubated and under mechanical ventilation because the realization of oral hygiene reduces the patient's risk of complications and length of hospitalization. The objective of this research was to evaluate the oral health condition of patients hospitalized in an intensive care unit (ICU) and to clarify the importance of protocol standardization involving these patients' buccal hygiene. Materials and methods: In this study, the sample consisted of 45 patients admitted to an ICU who were evaluated in relation to the oral biofilm score index. Results: The results indicated that there was no significant difference in the biofilm score associated with the genre (p = 0.091), age group (p = 0.549), or teething profile (p = 0.207). However, the biofilm score was greater in partial and fully edentulous patients when compared with dentulous patients. Conclusion: Based on these results, it is recommended that care providers in ICUs complete the relevant oral health care training programs. Clinical significance: When in the ICU, suitable dental conduct following a protocol of prevention of oral biofilm can lead to earlier diagnosis and can prevent the spread of pathogenic microorganisms, particularly those that are systemic in patients with low immunity.

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“…Oral health care for older adults in long-term care facilities is important for many reasons, such as the prevention of aspiration pneumonia. 1 , 2 , 3 , 4 , 5 However, the provision of oral care in long-term care settings is often challenging, 6 , 7 , 8 with the most frequently reported problems being the refusal of care by uncooperative residents and inadequate staff knowledge or skill. 7 The refusal of care is a result of the residents' behavior, which is attributed to tactile hypersensitivity (TH).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of a desensitization technique for mitigating oral and facial tactile hypersensitivity in institutionalized older persons: A randomized controlled trial

Shirobe

Hidaka

Hirano

et al. 2021

Journal of Dental Sciences

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Background/purpose Oral health care provision in long-term care settings is often limited by specific behaviors exhibited by residents, which may be interpreted as a refusal of care. Such behaviors can be attributed to oral tactile hypersensitivity (TH), which is characterized by aberrations in the perception of oral stimuli. TH is also associated with a decline in ingestion and swallowing function. The purpose of this study was to examine the effectiveness of a technique for mitigating TH (TMH) among institutionalized older persons. Materials and methods In this study, 18 institutionalized older persons (Mean age, 90.6 ± 4.5 years; 92.9% females) with TH were randomized to a control group or an intervention group. Pre- and post-intervention assessments were conducted for seven participants in each group. Routine oral care was provided by the facility's staff in both groups. TMH in the intervention group was performed by a dental hygienist over a 3-month period. Results In the intervention group, the number of areas with TH was significantly reduced ( P = 0.027). No significant change was observed in the control group. Conclusion The results of this study suggest that TMH can effectively mitigate TH. Our findings provide clinicians with an additional treatment option for hypersensitivity in older patients. Additional long-term studies with larger sample sizes are required to confirm the effectiveness of this technique.

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Ventilator-associated Pneumonia Risk Decreased by Use of Oral Moisture Gel in Oral Health Care

Cited by 9 publications

References 23 publications

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

Oral Health of Patients Hospitalized in the Intensive Care Unit

The effectiveness of a desensitization technique for mitigating oral and facial tactile hypersensitivity in institutionalized older persons: A randomized controlled trial

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