Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/26866 |
Resumo: | Introduction: Chlorhexidine oral decontamination protocols are the usual care offered to patients in Intensive Care Units (ICU). The admission evaluation performed by dentists is absent from the routine, leading the medical team to overlook oral diseases, as they are rarely the main cause of hospitalization and the common absence of pain or other symptoms. Healthy or not, the oral cavity has an extensive reservoir of pathogens and can spread systemic infections and modify or worsen the general health of hospitalized patients. Methods: We conducted a prospective longitudinal study in the general ICU of Hospital Sírio Libanês, in São Paulo. Oral health was assessed at admission, three, and seven’s day of hospitalization by clinically (bedside oral examination (BOE), plaque and mucosa index (MPS), presence of infectious foci) and microbiologically indexes(identification of microorganisms in saliva and biofilm).Results: Sixty patients were initially included, with 70% of oral care dependency, and 39.47% were admitted and remained with oral infectious foci throughout the study. 38 patientes clinically followed presented improvement in BOE and MPS indices. With no statistically significant differences between saliva and biofilm during the hospital stay, 27 patients had a prevalence of Candida spp, ESKAPE (E. faecalis, S.aureus, K.pneumoniae, A.baumannii, P.mirabilis, and Enterobacter spp.) and pathogens associated with nosocomial pneumonia (S.aureus, K.pneumoniae, P.aeruginosa, E.cloacae, P.mirabilis, Streptococcus spp, E.coli, H.influenza, and S.pneumoniae). Conclusion: In addition to nursing care, oral assessment at hospital admission and dental follow-up can align patients' oral hygiene protocols with their real systemic needs. |
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Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care UnitEvaluación de cambios bucales y modificación del microbioma bucal en pacientes ingresados en la Unidad de Cuidados IntensivosAvaliação das alterações bucais e modificação do microbioma bucal em pacientes internados na Unidade de Terapia IntensivaIntensive unit careOral careCritical care.Unidad de cuidados intensivosCuidado bucalCuidado crítico.Unidade de terapia intensivaHigiene bucalCuidados intensivos.Introduction: Chlorhexidine oral decontamination protocols are the usual care offered to patients in Intensive Care Units (ICU). The admission evaluation performed by dentists is absent from the routine, leading the medical team to overlook oral diseases, as they are rarely the main cause of hospitalization and the common absence of pain or other symptoms. Healthy or not, the oral cavity has an extensive reservoir of pathogens and can spread systemic infections and modify or worsen the general health of hospitalized patients. Methods: We conducted a prospective longitudinal study in the general ICU of Hospital Sírio Libanês, in São Paulo. Oral health was assessed at admission, three, and seven’s day of hospitalization by clinically (bedside oral examination (BOE), plaque and mucosa index (MPS), presence of infectious foci) and microbiologically indexes(identification of microorganisms in saliva and biofilm).Results: Sixty patients were initially included, with 70% of oral care dependency, and 39.47% were admitted and remained with oral infectious foci throughout the study. 38 patientes clinically followed presented improvement in BOE and MPS indices. With no statistically significant differences between saliva and biofilm during the hospital stay, 27 patients had a prevalence of Candida spp, ESKAPE (E. faecalis, S.aureus, K.pneumoniae, A.baumannii, P.mirabilis, and Enterobacter spp.) and pathogens associated with nosocomial pneumonia (S.aureus, K.pneumoniae, P.aeruginosa, E.cloacae, P.mirabilis, Streptococcus spp, E.coli, H.influenza, and S.pneumoniae). Conclusion: In addition to nursing care, oral assessment at hospital admission and dental follow-up can align patients' oral hygiene protocols with their real systemic needs.Introducción: Los protocolos de descontaminación oral con clorhexidina son los cuidados habituales que se ofrecen a los pacientes en las Unidades de Cuidados Intensivos (UCI). La evaluación de ingreso realizada por los odontólogos está ausente de la rutina, lo que lleva al equipo médico a pasar por alto las enfermedades bucales, ya que rara vez son la principal causa de hospitalización y la ausencia común de dolor u otros síntomas. Saludable o no, la cavidad oral tiene un reservorio extenso de patógenos y puede propagar infecciones sistémicas y modificar o empeorar la salud general de los pacientes hospitalizados. Métodos: Realizamos un estudio longitudinal prospectivo en la UTI general del Hospital Sírio Libanês, en São Paulo. La salud bucal se evaluó al ingreso, tres y siete días de hospitalización mediante índices clínicos (examen oral de cabecera (BOE), índice de placa y mucosa (MPS), presencia de focos infecciosos) y microbiológicos (identificación de microorganismos en saliva y biopelícula). Resultados: Inicialmente se incluyeron 60 pacientes, con un 70% de dependencia del cuidado bucal, y un 39,47% ingresaron y permanecieron con focos infecciosos bucales durante todo el estudio. 38 pacientes seguidos clínicamente presentaron mejoría en los índices BOE y MPS. Sin diferencias estadísticamente significativas entre la saliva y el biofilm durante la estancia hospitalaria, 27 pacientes presentaron prevalencia de Candida spp, ESKAPE (E. faecalis, S.aureus, K.pneumoniae, A.baumannii, P.mirabilis y Enterobacter spp.) y patógenos asociados con neumonía nosocomial (S.aureus, K.pneumoniae, P.aeruginosa, E.cloacae, P.mirabilis, Streptococcus spp, E.coli, H.influenza y S.pneumoniae). Conclusión: Además de los cuidados de enfermería, la evaluación bucal al ingreso hospitalario y el seguimiento odontológico pueden alinear los protocolos de higiene bucal de los pacientes con sus necesidades sistémicas reales.Introdução: Os protocolos de descontaminação oral com clorexidina são os cuidados usuais oferecidos aos pacientes em Unidades de Terapia Intensiva (UTI). A avaliação de internação realizada pelos dentistas está ausente da rotina, levando a equipe médica a negligenciar as doenças bucais, pois raramente são a principal causa de internação e a ausência comum de dor ou outros sintomas. Saudável ou não, a cavidade oral possui um extenso reservatório de patógenos, podendo disseminar infecções sistêmicas e modificar ou piorar a saúde geral dos pacientes hospitalizados. Métodos: Foi realizado um estudo longitudinal prospectivo na UTI geral do Hospital Sírio Libanês, em São Paulo. A saúde bucal foi avaliada na admissão, três e sete dias de internação por índices clínicos (exame bucal à beira do leito (BOE), índice de placa e mucosa (MPS), presença de focos infecciosos) e microbiologicamente (identificação de microrganismos na saliva e biofilme). Resultados: Inicialmente foram incluídos 60 pacientes, com 70% de dependência de higiene bucal, e 39,47% foram internados e permaneceram com focos infecciosos bucais durante todo o estudo. 38 pacientes acompanhados clinicamente apresentaram melhora nos índices BOE e MPS. Sem diferenças estatisticamente significativas entre saliva e biofilme durante a internação, 27 pacientes tiveram prevalência de Candida spp, ESKAPE (E. faecalis, S.aureus, K.pneumoniae, A.baumannii, P.mirabilis e Enterobacter spp.) e patógenos associados à pneumonia nosocomial (S.aureus, K.pneumoniae, P.aeruginosa, E.cloacae, P.mirabilis, Streptococcus spp, E.coli, H.influenza e S.pneumoniae). Conclusão: Além dos cuidados de enfermagem, a avaliação bucal na admissão hospitalar e o acompanhamento odontológico podem alinhar os protocolos de higiene bucal do paciente às suas reais necessidades sistêmicas.Research, Society and Development2022-03-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2686610.33448/rsd-v11i3.26866Research, Society and Development; Vol. 11 No. 3; e59411326866Research, Society and Development; Vol. 11 Núm. 3; e59411326866Research, Society and Development; v. 11 n. 3; e594113268662525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/26866/23568Copyright (c) 2022 Monira Samaan Kallás; Maria Anita Mendes; Meriellen Dias; Renata Matalon Negreiros; Levy Anderson Cesar Alves; Alice Siniauskas; Luciano César Pontes Azevedohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessKallás, Monira Samaan Mendes, Maria Anita Dias, MeriellenNegreiros, Renata MatalonAlves, Levy Anderson CesarSiniauskas, AliceAzevedo, Luciano César Pontes 2022-03-09T13:44:38Zoai:ojs.pkp.sfu.ca:article/26866Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:44:47.612848Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit Evaluación de cambios bucales y modificación del microbioma bucal en pacientes ingresados en la Unidad de Cuidados Intensivos Avaliação das alterações bucais e modificação do microbioma bucal em pacientes internados na Unidade de Terapia Intensiva |
title |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
spellingShingle |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit Kallás, Monira Samaan Intensive unit care Oral care Critical care. Unidad de cuidados intensivos Cuidado bucal Cuidado crítico. Unidade de terapia intensiva Higiene bucal Cuidados intensivos. |
title_short |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
title_full |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
title_fullStr |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
title_full_unstemmed |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
title_sort |
Evaluation of oral changes and modification of the oral microbiome in patients admitted to the Intensive Care Unit |
author |
Kallás, Monira Samaan |
author_facet |
Kallás, Monira Samaan Mendes, Maria Anita Dias, Meriellen Negreiros, Renata Matalon Alves, Levy Anderson Cesar Siniauskas, Alice Azevedo, Luciano César Pontes |
author_role |
author |
author2 |
Mendes, Maria Anita Dias, Meriellen Negreiros, Renata Matalon Alves, Levy Anderson Cesar Siniauskas, Alice Azevedo, Luciano César Pontes |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Kallás, Monira Samaan Mendes, Maria Anita Dias, Meriellen Negreiros, Renata Matalon Alves, Levy Anderson Cesar Siniauskas, Alice Azevedo, Luciano César Pontes |
dc.subject.por.fl_str_mv |
Intensive unit care Oral care Critical care. Unidad de cuidados intensivos Cuidado bucal Cuidado crítico. Unidade de terapia intensiva Higiene bucal Cuidados intensivos. |
topic |
Intensive unit care Oral care Critical care. Unidad de cuidados intensivos Cuidado bucal Cuidado crítico. Unidade de terapia intensiva Higiene bucal Cuidados intensivos. |
description |
Introduction: Chlorhexidine oral decontamination protocols are the usual care offered to patients in Intensive Care Units (ICU). The admission evaluation performed by dentists is absent from the routine, leading the medical team to overlook oral diseases, as they are rarely the main cause of hospitalization and the common absence of pain or other symptoms. Healthy or not, the oral cavity has an extensive reservoir of pathogens and can spread systemic infections and modify or worsen the general health of hospitalized patients. Methods: We conducted a prospective longitudinal study in the general ICU of Hospital Sírio Libanês, in São Paulo. Oral health was assessed at admission, three, and seven’s day of hospitalization by clinically (bedside oral examination (BOE), plaque and mucosa index (MPS), presence of infectious foci) and microbiologically indexes(identification of microorganisms in saliva and biofilm).Results: Sixty patients were initially included, with 70% of oral care dependency, and 39.47% were admitted and remained with oral infectious foci throughout the study. 38 patientes clinically followed presented improvement in BOE and MPS indices. With no statistically significant differences between saliva and biofilm during the hospital stay, 27 patients had a prevalence of Candida spp, ESKAPE (E. faecalis, S.aureus, K.pneumoniae, A.baumannii, P.mirabilis, and Enterobacter spp.) and pathogens associated with nosocomial pneumonia (S.aureus, K.pneumoniae, P.aeruginosa, E.cloacae, P.mirabilis, Streptococcus spp, E.coli, H.influenza, and S.pneumoniae). Conclusion: In addition to nursing care, oral assessment at hospital admission and dental follow-up can align patients' oral hygiene protocols with their real systemic needs. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-08 |
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://rsdjournal.org/index.php/rsd/article/view/26866 10.33448/rsd-v11i3.26866 |
url |
https://rsdjournal.org/index.php/rsd/article/view/26866 |
identifier_str_mv |
10.33448/rsd-v11i3.26866 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/26866/23568 |
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 |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 3; e59411326866 Research, Society and Development; Vol. 11 Núm. 3; e59411326866 Research, Society and Development; v. 11 n. 3; e59411326866 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052763452997632 |