Oral condition of critical patients and its correlation with ventilator-associated pneumonia: a pilot study

• Autor(a) principal: De Marco,Andrea Carvalho
• Data de Publicação: 2013
• Outros Autores: Cardoso,Camila Galvão, De Marco,Fernando Vinicius Cesar, Melo Filho,Antonio Braulino de, Santamaria,Mauro Pedrine, Jardini,Maria Aparecida Neves
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista de Odontologia da UNESP
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772013000300007
• topic: Dental plaque; intensive care units; cross infections; oral health; periodontal diseases

INTRODUCTION: Literature has reported inadequate oral hygiene conditions in Intensive Care Unit (ICU) patients and the occurrence of Ventilator-associated pneumonia in about 9%-27% of all intubated patients. OBJECTIVE: The aim of this study was to evaluate ICU patient's oral conditions and correlate this with the presence of ventilator-associated pneumonia. MATERIAL AND METHOD: Twenty-three patients were categorized in the following way: with periodontal disease and ventilator-associated pneumonia, with periodontal disease and without ventilator-associated pneumonia, without periodontal disease and with ventilator-associated pneumonia, and with neither periodontal disease nor ventilator-associated pneumonia. The periodontal disease index, plaque index, and decay-missing-filled index were used in the assessment. RESULT: There was no statistically significant difference in the incidence of periodontal disease with respect to ventilator-associated pneumonia, but the number of teeth and surfaces with attachment loss above 4 mm was always greater in patients with ventilator-associated pneumonia. CONCLUSION: The extent of periodontal disease may contribute to the onset of ventilator-associated pneumonia. However, studies with a larger sample are needed to validate this relationship.