Oral microbiome of patients in intensive care unit: literature review

Detalhes bibliográficos
Autor(a) principal: Queiróz , Natália Alves de
Data de Publicação: 2023
Outros Autores: Magalhães, Ana Clara Sousa, Galvão, Joyce Gabrielly Barbosa, Rodrigues, Vitória de Oliveira, Carvalho, Thiago de Amorim
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/507
Resumo: Knowledge of the most prevalent microorganisms and their control protocols are fundamental for the comprehensive care of patients in intensive care. The objective of this work was to determine the main pathogens that make up the oral microbiome of intensive care patients. A literature review was carried out in the Pubmed and Scielo databases. The descriptors used were “nosocomial pneumonia” AND “oral cavity” and “oral microbiome” AND “ICU”. Articles published in the last 10 years were included. Gray literature was excluded. After applying the criteria, 7 articles were selected for this review. More than 500 types of bacteria have been described in the oral cavity, with approximately 22 classified as dominant. Among the main bacteria, the following stand out: Pseudomonas aeruginosa, S. aureus, Acinetobacter spp, Klebsiella spp, Enterobacter spp, S. pneumoniae, E. coli, Klebsiella pneumoniae and Enterococcus faecalis. Species variations are found between dentate and edentulous patients. Microbiological coincidence is high between dental biofilm and lower airways. Other microorganisms may be present in the oral microbiome, such as Redondoviridae, associated with both periodontitis and respiratory failure, and Candida albicans. In view of the diversity of pathogens, the cleaning agent must have a broad spectrum, with few side effects for the patient. The literature shows that the most common oral pathogens in critically ill patients are gram-negative bacteria and Staphylococcus aureus. Chlorhexidine digluconate 0.12% has proven to be the gold standard for cleaning the oral cavity in patients in these environments, due to its broad spectrum and substantivity.
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spelling Oral microbiome of patients in intensive care unit: literature reviewMicrobioma oral de pacientes em unidade de terapia intensiva: revisão de literaturaOdontologiaUnidade de terapia intensivaEquipe hospitalar de odontologiaMicrobiomaDentistryIntensive care unitDental staff hospitalMicrobiomeAutologous Transplantation, Dental Reimplantation, Dentistry, Oral Surgery.Knowledge of the most prevalent microorganisms and their control protocols are fundamental for the comprehensive care of patients in intensive care. The objective of this work was to determine the main pathogens that make up the oral microbiome of intensive care patients. A literature review was carried out in the Pubmed and Scielo databases. The descriptors used were “nosocomial pneumonia” AND “oral cavity” and “oral microbiome” AND “ICU”. Articles published in the last 10 years were included. Gray literature was excluded. After applying the criteria, 7 articles were selected for this review. More than 500 types of bacteria have been described in the oral cavity, with approximately 22 classified as dominant. Among the main bacteria, the following stand out: Pseudomonas aeruginosa, S. aureus, Acinetobacter spp, Klebsiella spp, Enterobacter spp, S. pneumoniae, E. coli, Klebsiella pneumoniae and Enterococcus faecalis. Species variations are found between dentate and edentulous patients. Microbiological coincidence is high between dental biofilm and lower airways. Other microorganisms may be present in the oral microbiome, such as Redondoviridae, associated with both periodontitis and respiratory failure, and Candida albicans. In view of the diversity of pathogens, the cleaning agent must have a broad spectrum, with few side effects for the patient. The literature shows that the most common oral pathogens in critically ill patients are gram-negative bacteria and Staphylococcus aureus. Chlorhexidine digluconate 0.12% has proven to be the gold standard for cleaning the oral cavity in patients in these environments, due to its broad spectrum and substantivity.O conhecimento dos microrganismos mais prevalentes e os protocolos de controle dos mesmos são fundamentais para o cuidado integral do paciente em terapia intensiva. O objetivo deste trabalho foi determinar os principais patógenos que compõem o microbioma oral de pacientes em terapia intensiva. Foi realizada uma revisão da literatura nas bases de dados Pubmed e Scielo. Os descritores utilizados foram “nosocomial pneumonia” AND “oral cavity” e “oral microbioma” AND “ICU”. Foram incluídos artigos publicados nos últimos 10 anos. A literatura cinzenta foi excluída. Após aplicação dos critérios, 7 artigos foram selecionados para esta revisão. Mais de 500 tipos de bactérias já foram descritos na cavidade oral, sendo aproximadamente 22 classificadas como dominantes. Dentre as principais bactérias destaca-se: Pseudomonas aeruginosa, S. aureus, Acinetobacter spp, Klebsiella spp, Enterobacter spp, S. pneumoniae, E. coli, Klebsiella pneumoniae e Enterococcus faecalis. São encontradas variações de espécies entre pacientes dentados e edêntulos. A coincidência microbiológica é alta entre biofilme dental e vias aéreas inferiores. Outros microrganismos podem estar presentes no microbioma oral como é o caso do Redondoviridae, associado tanto à periodontite quanto à insuficiência respiratória e Candida albicans. Em vista da diversidade de patógenos, o agente de limpeza deve ter amplo espectro, como poucos efeitos colaterais para o paciente. A literatura demonstra que os patógenos orais mais frequentes em pacientes críticos são bactérias gram-negativas e Staphylococcus aureus. O digluconato de clorexidina 0,12% tem se mostrado o padrão ouro para a limpeza da cavidade oral em pacientes nesses ambientes, devido ao amplo espectro e substantividade.Specialized Dentistry Group2023-09-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/50710.36557/2674-8169.2023v5n4p1847-1856Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 4 (2023): BJIHS QUALIS B3; 1847-1856Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 4 (2023): BJIHS QUALIS B3; 1847-1856Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 4 (2023): BJIHS QUALIS B3; 1847-18562674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/507/622Copyright (c) 2023 Natália Alves de Queiróz , Ana Clara Sousa Magalhães, Joyce Gabrielly Barbosa Galvão, Vitória de Oliveira Rodrigues, Thiago de Amorim Carvalhohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessQueiróz , Natália Alves deMagalhães, Ana Clara SousaGalvão, Joyce Gabrielly BarbosaRodrigues, Vitória de OliveiraCarvalho, Thiago de Amorim2023-09-13T20:16:59Zoai:ojs.bjihs.emnuvens.com.br:article/507Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-09-13T20:16:59Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv Oral microbiome of patients in intensive care unit: literature review
Microbioma oral de pacientes em unidade de terapia intensiva: revisão de literatura
title Oral microbiome of patients in intensive care unit: literature review
spellingShingle Oral microbiome of patients in intensive care unit: literature review
Queiróz , Natália Alves de
Odontologia
Unidade de terapia intensiva
Equipe hospitalar de odontologia
Microbioma
Dentistry
Intensive care unit
Dental staff hospital
Microbiome
Autologous Transplantation, Dental Reimplantation, Dentistry, Oral Surgery.
title_short Oral microbiome of patients in intensive care unit: literature review
title_full Oral microbiome of patients in intensive care unit: literature review
title_fullStr Oral microbiome of patients in intensive care unit: literature review
title_full_unstemmed Oral microbiome of patients in intensive care unit: literature review
title_sort Oral microbiome of patients in intensive care unit: literature review
author Queiróz , Natália Alves de
author_facet Queiróz , Natália Alves de
Magalhães, Ana Clara Sousa
Galvão, Joyce Gabrielly Barbosa
Rodrigues, Vitória de Oliveira
Carvalho, Thiago de Amorim
author_role author
author2 Magalhães, Ana Clara Sousa
Galvão, Joyce Gabrielly Barbosa
Rodrigues, Vitória de Oliveira
Carvalho, Thiago de Amorim
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Queiróz , Natália Alves de
Magalhães, Ana Clara Sousa
Galvão, Joyce Gabrielly Barbosa
Rodrigues, Vitória de Oliveira
Carvalho, Thiago de Amorim
dc.subject.por.fl_str_mv Odontologia
Unidade de terapia intensiva
Equipe hospitalar de odontologia
Microbioma
Dentistry
Intensive care unit
Dental staff hospital
Microbiome
Autologous Transplantation, Dental Reimplantation, Dentistry, Oral Surgery.
topic Odontologia
Unidade de terapia intensiva
Equipe hospitalar de odontologia
Microbioma
Dentistry
Intensive care unit
Dental staff hospital
Microbiome
Autologous Transplantation, Dental Reimplantation, Dentistry, Oral Surgery.
description Knowledge of the most prevalent microorganisms and their control protocols are fundamental for the comprehensive care of patients in intensive care. The objective of this work was to determine the main pathogens that make up the oral microbiome of intensive care patients. A literature review was carried out in the Pubmed and Scielo databases. The descriptors used were “nosocomial pneumonia” AND “oral cavity” and “oral microbiome” AND “ICU”. Articles published in the last 10 years were included. Gray literature was excluded. After applying the criteria, 7 articles were selected for this review. More than 500 types of bacteria have been described in the oral cavity, with approximately 22 classified as dominant. Among the main bacteria, the following stand out: Pseudomonas aeruginosa, S. aureus, Acinetobacter spp, Klebsiella spp, Enterobacter spp, S. pneumoniae, E. coli, Klebsiella pneumoniae and Enterococcus faecalis. Species variations are found between dentate and edentulous patients. Microbiological coincidence is high between dental biofilm and lower airways. Other microorganisms may be present in the oral microbiome, such as Redondoviridae, associated with both periodontitis and respiratory failure, and Candida albicans. In view of the diversity of pathogens, the cleaning agent must have a broad spectrum, with few side effects for the patient. The literature shows that the most common oral pathogens in critically ill patients are gram-negative bacteria and Staphylococcus aureus. Chlorhexidine digluconate 0.12% has proven to be the gold standard for cleaning the oral cavity in patients in these environments, due to its broad spectrum and substantivity.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-13
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/507
10.36557/2674-8169.2023v5n4p1847-1856
url https://bjihs.emnuvens.com.br/bjihs/article/view/507
identifier_str_mv 10.36557/2674-8169.2023v5n4p1847-1856
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/507/622
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. 5 No. 4 (2023): BJIHS QUALIS B3; 1847-1856
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 4 (2023): BJIHS QUALIS B3; 1847-1856
Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 4 (2023): BJIHS QUALIS B3; 1847-1856
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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