Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian journal of oral sciences (Online) |
Texto Completo: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436 |
Resumo: | Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV. |
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oai:ojs.periodicos.sbu.unicamp.br:article/8660436 |
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UNICAMP-8 |
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Brazilian journal of oral sciences (Online) |
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|
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Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicatorsRespiration, artificialPneumonia, ventilator-associatedDentistryVentilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV.Universidade Estadual de Campinas2020-11-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/866043610.20396/bjos.v19i0.8660436Brazilian Journal of Oral Sciences; v. 19 (2020): Continuous Publication; e200436Brazilian Journal of Oral Sciences; Vol. 19 (2020): Continuous Publication; e2004361677-3225reponame:Brazilian journal of oral sciences (Online)instname:Universidade Estadual de Campinas (UNICAMP)instacron:UNICAMPenghttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436/23201Brazil; ContemporanyCopyright (c) 2020 Brazilian Journal of Oral Scienceshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBezerra, Tácio Pinheiro Campêlo, Clarissa Sales de Paula Oliveira, Francisco Artur Forte Forte , Clarissa Pessoa FernandesPalácio Gomes , Aghata Kelma Barros Silva, Paulo Goberlânio de Matias de Carvalho , BráulioAlves, Ana Paula Negreiros Nunes Bitu Sousa, Fabrício2021-02-08T13:06:05Zoai:ojs.periodicos.sbu.unicamp.br:article/8660436Revistahttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/PUBhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/oaibrjorals@fop.unicamp.br||brjorals@fop.unicamp.br1677-32251677-3217opendoar:2021-02-08T13:06:05Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP)false |
dc.title.none.fl_str_mv |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
title |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
spellingShingle |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators Bezerra, Tácio Pinheiro Respiration, artificial Pneumonia, ventilator-associated Dentistry |
title_short |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
title_full |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
title_fullStr |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
title_full_unstemmed |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
title_sort |
Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators |
author |
Bezerra, Tácio Pinheiro |
author_facet |
Bezerra, Tácio Pinheiro Campêlo, Clarissa Sales de Paula Oliveira, Francisco Artur Forte Forte , Clarissa Pessoa Fernandes Palácio Gomes , Aghata Kelma Barros Silva, Paulo Goberlânio de Matias de Carvalho , Bráulio Alves, Ana Paula Negreiros Nunes Bitu Sousa, Fabrício |
author_role |
author |
author2 |
Campêlo, Clarissa Sales de Paula Oliveira, Francisco Artur Forte Forte , Clarissa Pessoa Fernandes Palácio Gomes , Aghata Kelma Barros Silva, Paulo Goberlânio de Matias de Carvalho , Bráulio Alves, Ana Paula Negreiros Nunes Bitu Sousa, Fabrício |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Bezerra, Tácio Pinheiro Campêlo, Clarissa Sales de Paula Oliveira, Francisco Artur Forte Forte , Clarissa Pessoa Fernandes Palácio Gomes , Aghata Kelma Barros Silva, Paulo Goberlânio de Matias de Carvalho , Bráulio Alves, Ana Paula Negreiros Nunes Bitu Sousa, Fabrício |
dc.subject.por.fl_str_mv |
Respiration, artificial Pneumonia, ventilator-associated Dentistry |
topic |
Respiration, artificial Pneumonia, ventilator-associated Dentistry |
description |
Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436 10.20396/bjos.v19i0.8660436 |
url |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436 |
identifier_str_mv |
10.20396/bjos.v19i0.8660436 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436/23201 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Brazilian Journal of Oral Sciences https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Brazilian Journal of Oral Sciences https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.coverage.none.fl_str_mv |
Brazil; Contemporany |
dc.publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Oral Sciences; v. 19 (2020): Continuous Publication; e200436 Brazilian Journal of Oral Sciences; Vol. 19 (2020): Continuous Publication; e200436 1677-3225 reponame:Brazilian journal of oral sciences (Online) instname:Universidade Estadual de Campinas (UNICAMP) instacron:UNICAMP |
instname_str |
Universidade Estadual de Campinas (UNICAMP) |
instacron_str |
UNICAMP |
institution |
UNICAMP |
reponame_str |
Brazilian journal of oral sciences (Online) |
collection |
Brazilian journal of oral sciences (Online) |
repository.name.fl_str_mv |
Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP) |
repository.mail.fl_str_mv |
brjorals@fop.unicamp.br||brjorals@fop.unicamp.br |
_version_ |
1800216403532316672 |