Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1358 |
Resumo: | The aim of this research is to evaluate whether there was a difference after the insertion of the dental surgeon in an Intensive Care Unit (ICU) that cares for patients with COVID-19 in relation to ventilator-associated pneumonia (VAP) control, length of stay and mortality. The dentist was added to the multidisciplinary team for three months. A training session with the nurses and nursing technicians was held at the start of every month. The Hospital Infection Control Service gathered data on VAP, hospital stay length, and ICU mortality in the three months before and three months after the dentist joined the team. After statistical analysis, the hospitalization rate increased in the period in which the dentist was working in the COVID-19 unit, but the p value was not significant in this variant (p > 0.062). The percentage of VAP in the period before and after the dentist's intervention in the COVID-19 unit decreased with a significant difference between the evaluated periods (p < 0.0001). Regarding mortality, it was found that there was an increase in the number of deaths over time, however without statistical significance (p > 0.2790). The pandemic came to confirm the importance of dental care in the hospital environment and the integration of the professional dentist in the health team, contributing to the oral health and quality of life of critical patients. |
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Brazilian Journal of Implantology and Health Sciences |
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Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary teamAvaliação dos índices de pneumonia associados à ventilação mecânica em unidade covid-19 após inserção do dentista na equipe multiprofissionalCOVID-19; Pneumonia Associada à Ventilação Mecânica; Cirurgião-Dentista.The aim of this research is to evaluate whether there was a difference after the insertion of the dental surgeon in an Intensive Care Unit (ICU) that cares for patients with COVID-19 in relation to ventilator-associated pneumonia (VAP) control, length of stay and mortality. The dentist was added to the multidisciplinary team for three months. A training session with the nurses and nursing technicians was held at the start of every month. The Hospital Infection Control Service gathered data on VAP, hospital stay length, and ICU mortality in the three months before and three months after the dentist joined the team. After statistical analysis, the hospitalization rate increased in the period in which the dentist was working in the COVID-19 unit, but the p value was not significant in this variant (p > 0.062). The percentage of VAP in the period before and after the dentist's intervention in the COVID-19 unit decreased with a significant difference between the evaluated periods (p < 0.0001). Regarding mortality, it was found that there was an increase in the number of deaths over time, however without statistical significance (p > 0.2790). The pandemic came to confirm the importance of dental care in the hospital environment and the integration of the professional dentist in the health team, contributing to the oral health and quality of life of critical patients.A pneumonia associada à ventilação mecânica (PAVM) é uma infecção pulmonar que se desenvolve em pelo menos 48 h ou mais após a admissão hospitalar em pacientes ventilados mecanicamente através de traqueostomia ou intubação orotraqueal. A higiene bucal tem sido considerada um componente essencial na prevenção da PAVM e, sendo realizada de forma padronizada, pode reduzir significativamente a taxa de infecções do trato respiratório devido à colonização microbiana. Este estudo iniciou com o objetivo de avaliar o impacto da inserção do Cirurgião-Dentista em uma UTI que fez atendimento à pacientes com COVID-19 e analisar se houve diferença nos parâmetros de PAVM, tempo de internação e mortalidade em relação ao período de ausência da atuação profissional do Cirurgião-Dentista neste ambiente. Após análise estatistica, os dados obtidos na coleta foram tabulados e analisados pelo software SAS 9.4 M7, SAS Inc. A taxa de internação aumentou no período em que o Cirurgião-Dentista estava inserido na unidade COVID-19, porém o valor de p não foi significativo nessa variante (p > 0,062). A porcentagem de PAVM no período antes e após a intervenção do Cirurgião-Dentista na unidade COVID-19 diminuiu com diferença significativa entre os períodos avaliados (p < 0,0001). Já em relação à mortalidade, verificou-se que houve um aumento no número de óbitos ao longo do tempo, entretanto sem significância estatística (p > 0,2790). A pandemia veio para confirmar a importância do atendimento da odontologia no ambiente hospitalar e a integração do profissional dentista na equipe de saúde contribuindo para a saúde bucal e a qualidade de vida dos pacientes críticos. Specialized Dentistry Group2024-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/135810.36557/2674-8169.2024v6n2p56-70Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 56-70Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 56-70Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 56-702674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1358/1555Copyright (c) 2024 Pedryna Maria Oliveira Veras , Eliane Ferreira Sampaio, Edson Luiz Cetira Filho, Ylana Rosa Matos , Aristéa Ribeiro Carvalho , Isabela Freire Henrique, Tatiane Andrade Figueiredo Rojas Nottingham, Kalil de Castro Sousa, Islla Ribeiro Pinheiro, Francisco Rogério Rodrigues Costa, Alinne Patierry Oliveira Pacífico Feitosahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Veras , Pedryna Maria OliveiraSampaio, Eliane Ferreira Filho, Edson Luiz CetiraMatos , Ylana RosaCarvalho , Aristéa RibeiroHenrique, Isabela FreireNottingham, Tatiane Andrade Figueiredo RojasSousa, Kalil de Castro Pinheiro, Islla RibeiroCosta, Francisco Rogério RodriguesFeitosa, Alinne Patierry Oliveira Pacífico2024-02-01T22:27:21Zoai:ojs.bjihs.emnuvens.com.br:article/1358Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-02-01T22:27:21Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team Avaliação dos índices de pneumonia associados à ventilação mecânica em unidade covid-19 após inserção do dentista na equipe multiprofissional |
title |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
spellingShingle |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team Veras , Pedryna Maria Oliveira COVID-19; Pneumonia Associada à Ventilação Mecânica; Cirurgião-Dentista. |
title_short |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
title_full |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
title_fullStr |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
title_full_unstemmed |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
title_sort |
Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team |
author |
Veras , Pedryna Maria Oliveira |
author_facet |
Veras , Pedryna Maria Oliveira Sampaio, Eliane Ferreira Filho, Edson Luiz Cetira Matos , Ylana Rosa Carvalho , Aristéa Ribeiro Henrique, Isabela Freire Nottingham, Tatiane Andrade Figueiredo Rojas Sousa, Kalil de Castro Pinheiro, Islla Ribeiro Costa, Francisco Rogério Rodrigues Feitosa, Alinne Patierry Oliveira Pacífico |
author_role |
author |
author2 |
Sampaio, Eliane Ferreira Filho, Edson Luiz Cetira Matos , Ylana Rosa Carvalho , Aristéa Ribeiro Henrique, Isabela Freire Nottingham, Tatiane Andrade Figueiredo Rojas Sousa, Kalil de Castro Pinheiro, Islla Ribeiro Costa, Francisco Rogério Rodrigues Feitosa, Alinne Patierry Oliveira Pacífico |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Veras , Pedryna Maria Oliveira Sampaio, Eliane Ferreira Filho, Edson Luiz Cetira Matos , Ylana Rosa Carvalho , Aristéa Ribeiro Henrique, Isabela Freire Nottingham, Tatiane Andrade Figueiredo Rojas Sousa, Kalil de Castro Pinheiro, Islla Ribeiro Costa, Francisco Rogério Rodrigues Feitosa, Alinne Patierry Oliveira Pacífico |
dc.subject.por.fl_str_mv |
COVID-19; Pneumonia Associada à Ventilação Mecânica; Cirurgião-Dentista. |
topic |
COVID-19; Pneumonia Associada à Ventilação Mecânica; Cirurgião-Dentista. |
description |
The aim of this research is to evaluate whether there was a difference after the insertion of the dental surgeon in an Intensive Care Unit (ICU) that cares for patients with COVID-19 in relation to ventilator-associated pneumonia (VAP) control, length of stay and mortality. The dentist was added to the multidisciplinary team for three months. A training session with the nurses and nursing technicians was held at the start of every month. The Hospital Infection Control Service gathered data on VAP, hospital stay length, and ICU mortality in the three months before and three months after the dentist joined the team. After statistical analysis, the hospitalization rate increased in the period in which the dentist was working in the COVID-19 unit, but the p value was not significant in this variant (p > 0.062). The percentage of VAP in the period before and after the dentist's intervention in the COVID-19 unit decreased with a significant difference between the evaluated periods (p < 0.0001). Regarding mortality, it was found that there was an increase in the number of deaths over time, however without statistical significance (p > 0.2790). The pandemic came to confirm the importance of dental care in the hospital environment and the integration of the professional dentist in the health team, contributing to the oral health and quality of life of critical patients. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1358 10.36557/2674-8169.2024v6n2p56-70 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1358 |
identifier_str_mv |
10.36557/2674-8169.2024v6n2p56-70 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1358/1555 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 56-70 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 56-70 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 56-70 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
_version_ |
1796798444190302208 |