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VOLUME 17 , ISSUE 2 ( February, 2016 ) > List of Articles

RESEARCH ARTICLE

Oral Health of Patients Hospitalized in the Intensive Care Unit

Jordan L da Silva, Guaniara D'Arc de O El Kadre, Guilherme AH Kudo, Joel F Santiago Junior, Patrícia Pinto Saraiva

Citation Information : da Silva JL, de O El Kadre GD, Kudo GA, Junior JF, Saraiva PP. Oral Health of Patients Hospitalized in the Intensive Care Unit. J Contemp Dent Pract 2016; 17 (2):125-129.

DOI: 10.5005/jp-journals-10024-1814

Published Online: 01-02-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.

How to cite this article

da Silva JL, de O El Kadre GD, Kudo GAH, Santiago JF Jr, Saraiva PP. Oral Health of Patients Hospitalized in the Intensive Care Unit. J Contemp Dent Pract 2016;17(2):125-129.


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  1. Prophylactic oral health procedures to prevent hospitalacquired and ventilator-associated pneumonia: a systematic review. Int J Nurs Stud 2015 Jan;52(1):452-464.
  2. The effectiveness of an oral health care program for preventing ventilator-associated pneumonia. Nurs Crit Care 2015 Mar;20(2):89-97.
  3. Intensive care unit hospitalization may lead to deterioration in oral health. J Evid Based Dent Pract 2012 Mar;12(1):26-27.
  4. Evaluation of different methods for removing oral biofilm in patients admitted to the intensive care unit. J Int Oral Health 2014 Jun;6(3):61-64.
  5. Does the presence of oral care guidelines affect oral care delivery by intensive care unit nurses? A survey of Saudi intensive care unit nurses. Am J Infect Control 2014 Aug;42(8):921-922.
  6. Oral health, ventilator-associated pneumonia, and intracranial pressure in intubated patients in a neuroscience intensive care unit. Am J Crit Care 2009 Jul;18(4):368-376.
  7. Prevention of health care-associated infections. Am Fam Physician 2014 Sep;90(6):377-382.
  8. Oral evaluation and procedures performed by dentists in patients admitted to the intensive care unit of a cancer center. Support Care Cancer 2014 Oct;22(10):2645-2650.
  9. Ventilator-associated pneumonia risk decreased by use of oral moisture gel in oral health care. Bull Tokyo Dent Coll 2014;55(2):95-102.
  10. Oral health and care in the intensive care unit: state of the science. Am J Crit Care 2004 Jan;13(1):25-33; discussion 34.
  11. Factors related to compliance among critical care nurses with performing oral care protocols for mechanically ventilated patients in the intensive care unit. Am J Infect Control 2014 May;42(5):533-535.
  12. Clinical assessment of the oral cavity of patients hospitalized in an intensive care unit of an emergency hospital. Rev Bras Ter Intensiva 2014 Oct-Dec;26(4):379-383.
  13. The simplified oral hygiene index. J Am Dent Assoc 1964 Jan;68:7-13.
  14. ; Pannuti, CM. Efeitos Diretos dos Patógenos Bucais nas Condições Sistêmicas. Editora SSP, editor. Periodontia Medica-uma abordagem integrada. São Paulo: Senac Editora; 2004. p. 42-57.
  15. Reparative phase events on periodontal disease progression: interpretation and considerations. Int J Microbiol Res 2013;5(4):439-444.
  16. Oral biofilm-associated diseases: trends and implications for quality of life, systemic health and expenditures. Periodontol 2000 Feb 2011;55(1):87-103.
  17. Role of different routes of tracheal colonization in the development of pneumonia in patients receiving mechanical ventilation. Chest 1999 Aug;116(2):462-470.
  18. Projeto Odontologia Hospitalar. Revista da Abeno 2005;6(1):49-53.
  19. Does an oral care protocol reduce VAP in patients with a tracheostomy? Nursing 2013 Jul;43(7):18-23.
  20. Reappraisal of routine oral care with chlorhexidine gluconate for patients receiving mechanical ventilation: systematic review and meta-analysis. JAMA Intern Med 2014 May;174(5):751-761.
  21. Effect of an oral hygienic care program for stroke patients in the intensive care unit. Yonsei Med J 2014 Jan;55(1):240-246.
  22. A survey on oral care practices for ventilator-assisted patients in intensive care units in 3A hospitals of mainland China. Int J Nurs Pract Apr 2015 Dec;21(6):699-708.
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