Evaluation of the implementation of new protocol of oral hygiene in an intensive care center for prevention of pneumonia associated with mechanical ventilation

• Autor(a) principal: Souza, Alessandra Figueiredo de
• Data de Publicação: 2013
• Outros Autores: Guimarães, Aneliza Ceccon, Ferreira, Efigênia Ferreira e
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50252
• topic: Neumonía Asociada al Ventilador; Higiene Bucal; Clorhexidina; Pneumonia Associada à Ventilação Mecânica; Higiene Bucal; Clorexidina; Pneumonia; Ventilator-Associated; Oral Hygiene; Chlorhexidine

Ventilator-associated pneumonia (VAP) is one of the most prevalent infections in hospital intensive care unit (ICU). Among the risk factors highlight the microaspiration of oropharyngeal microorganisms. The strategy for prevention of VAP bundle was the creation of ventilation. However, not all strategies are included in the bundle, for example, the oral hygiene. This study aimed to assess the oral hygiene procedures to prevent VAP. We conducted a review of secondary data from the infection control committee of the hospital between 2008 to 2011 presented by frequency of occurrence. We also evaluated the perception of health professionals in the ICU on the implementation of the protocol of oral hygiene. After signing the informed consent a questionnaire was administered. Pneumonia was the primary cause of infection in the ICU from 2008 to 2010. In 2011 after deploying the bundle fails to lead to pneumonia as the most frequent. Percentage reduction in numbers of pneumonia after the deployment bundle to the incorporation of oral hygiene protocol ranged from 33.3% to 3.5%. About the perception of professionals about the insertion of dental professionals in the ICU 56 respondents, citing oral hygiene as the second most important measure. 100% of professionals said to be favorable to the dentist's inclusion in the ICU. The vast literature demonstrates the efficiency of the protocol of oral hygiene in the prevention of VAP, so it is recommended the inclusion of this measure in the bundle.