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Oral decontamination techniques and ventilator-associated pneumonia.

Ventilator-associated pneumonia (VAP) is one of the major nosocomial infections in the intensive care unit (ICU), contributing to increased mortality and morbidity. Studies have shown that oral decontamination through the use of mechanical and pharmacological agents significantly reduces the inciden...

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Publicado en:British Journal of Nursing Vol. 26; no. 11; pp. 594 - 600
Autores principales: Chacko, Ranjitha, Rajan, Amala, Lionel, Prabha, Thilagavathi, M, Yadav, Bijesh, Premkumar, Jeyarani
Formato: algorithm research tables/charts randomized controlled trial Journal Article
Publicado: Mark Allen Holdings Limited 6/8/2017
Acceso en línea:Ver este registro en EBSCOhost
Sumario:Ventilator-associated pneumonia (VAP) is one of the major nosocomial infections in the intensive care unit (ICU), contributing to increased mortality and morbidity. Studies have shown that oral decontamination through the use of mechanical and pharmacological agents significantly reduces the incidence of VAP, but oral care practices in ICUs are not consistent. A doubleblind randomised controlled trial was undertaken in the medical ICU of a tertiary care centre in India, to assess the efficacy of a toothbrush-based oral care technique in reducing incidence of VAP. Tooth-brushing with concurrent suctioning technique was not proved to be superior to mouth-swabbing. The greatest risk factor for developing VAP was the number of ventilator days (length of time on a ventilator). There was a statistical association between gender and presence of antibiotics with VAP.