Abstract:
BACKGROUND:Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation after endotracheal intubation. The role of chlorhexidine and tooth-brushing has been considered as a clinical intervention to reduce infection rates, however, evidence to inform this needs appraising. AIM:This paper presents a critical review on the effect of chlorhexidine gluconate (CHX) and tooth-brushing in decreasing rates of VAP in mechanically ventilated adult patients cared for in intensive care settings. METHODS:A literature search was conducted using a number of bibliographic databases (n = 6). A number of parameters were used to exclude irrelevant papers. A total n = 17 papers were located and accessed, which were directly related to the field. Eight studies that met the criteria and addressed the study aims were reviewed. FINDINGS:CHX was successful in reducing the rate of VAP and using a combination of CHX and colistine resulted in better oropharyngeal decontamination which reduced and delayed VAP. Chlorhexidine was also effective in reducing dental plaque in patients cared for in intensive care and had the potential to reduce nosocomial infections. Results of studies investigating the use of tooth-brushing in reducing VAP incidence proved inconsistent, although all recommend tooth-brushing as important in maintaining good oral hygiene. CONCLUSIONS:The use of chlorhexidine has been proven to be of some value in reducing VAP, although may be more effective when used with a solution which targets gram-negative bacteria. Tooth-brushing is recommended in providing a higher standard of oral care to mechanically ventilated patients and reducing VAP when used with chlorhexidine. However, limitations in study design and inconsistency in results suggest that further research is required into the effects of tooth-brushing.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Roberts N,Moule Pdoi
10.1111/j.1478-5153.2011.00465.xsubject
Has Abstractpub_date
2011-11-01 00:00:00pages
295-302issue
6eissn
1362-1017issn
1478-5153journal_volume
16pub_type
杂志文章,评审abstract:BACKGROUND:Intensive care units (ICUs) are challenging work environments because of the critical condition of patients, and ICU nurses frequently lament low job satisfaction and high staff turnover. Nevertheless, organizational and work characteristics, and the quality of relationships with staff can help to maintain n...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12083
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the effectiveness of an oral health care program for preventing ventilator-associated pneumonia (VAP). BACKGROUND:Research has shown a significant correlation between oral bacteria and VAP, indicating that an oral health care program plays a very important role in VAP prevention. DESI...
journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1046/j.1478-5153.2003.00020.x
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abstract:AIM:the aim of this pilot study was to describe family members' satisfaction with the care provided in a Swedish intensive care unit (ICU) based on the following needs: assurance, information, proximity, support, and comfort, which are all included in the Critical Care Family Satisfaction Survey (CCFSS). BACKGROUND:kn...
journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:1997-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2008.00282.x
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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更新日期:2018-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2013-07-01 00:00:00
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journal_title:Nursing in critical care
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abstract:BACKGROUND:As many delirium manifestations (e.g., hallucinations or fears) are linked to patients' experiences and personality traits, it is suggested that interventions should be tailored to optimize its management. The inclusion of family members, as part of an intervention, has recently emerged as a solution to deve...
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pub_type: 杂志文章,随机对照试验
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