Oral microbiome of patients in intensive care unit: literature review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
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/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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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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1796798438897090560 |