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 incidence of VAP, but oral care practices in ICUs are not consistent. A double-blind 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
British journal of nursing (Mark Allen Publishing) - 26(2017), 11 vom: 08. Juni, Seite 594-599 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chacko, Ranjitha [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 21.08.2017 Date Revised 21.08.2017 published: Print Citation Status MEDLINE |
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| doi: |
10.12968/bjon.2017.26.11.594 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM272742295 |
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| 520 | |a 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 double-blind 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Bacterial colonisation | |
| 650 | 4 | |a Healthcare-associated infections | |
| 650 | 4 | |a Infection control | |
| 650 | 4 | |a Oral hygiene | |
| 650 | 4 | |a Ventilator-associated pneumonia | |
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| 700 | 1 | |a Yadav, Bijesh |e verfasserin |4 aut | |
| 700 | 1 | |a Premkumar, Jeyarani |e verfasserin |4 aut | |
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