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...
| Publicado en: | British Journal of Nursing Vol. 26; no. 11; pp. 594 - 600 |
|---|---|
| Autores principales: | , , , , , |
| 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 |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123487033&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123487033 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660461 GHD jtl: British Journal of Nursing issn: 09660461 maglogo: N pubinfo: dt: 6/8/2017 vid: 26 iid: 11 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 123487033 123487033 123487033 10.12968/bjon.2017.26.11.594 123487033 ppf: 594 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Oral decontamination techniques and ventilator-associated pneumonia. aug: au: Chacko, Ranjitha Rajan, Amala Lionel, Prabha Thilagavathi, M Yadav, Bijesh Premkumar, Jeyarani affil: Nurse Manager, Medical ICU, and Lecturer, College of Nursing, Christian Medical College, Vellore, India sug: subj: Pneumonia, Ventilator-Associated Prevention and Control Mouth Care Suction Chlorhexidine Therapeutic Use Human Inpatients Randomized Controlled Trials Intensive Care Units Double-Blind Studies Pneumonia, Ventilator-Associated Epidemiology Incidence Toothbrushing Pneumonia, Ventilator-Associated Risk Factors Sex Factors Length of Stay Antibiotics India Prospective Studies Critical Care Nursing Registered Nurses T-Tests Logistic Regression Odds Ratio Confidence Intervals Data Analysis Software Multivariate Analysis Female Male Adult Middle Age Bivariate Statistics Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: 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. pubtype: Academic Journal doctype: algorithm research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|