Assessment of pneumonia rates associated with mechanical ventilation in a covid-19 unit after insertion of the dentist into the multidisciplinary team

Detalhes bibliográficos
Autor(a) principal: Veras , Pedryna Maria Oliveira
Data de Publicação: 2024
Outros Autores: 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
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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spelling 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
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