Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21586 |
Resumo: | Hospital Dentistry has been gaining field, since several successful experiences, associated with scientific evidence have shown that dental care at the hospital level can contribute to the reduction of cases of nosocomial pneumonia associated with mechanical ventilation, thus reducing the length of hospital stay and consequently the costs of this process. The objective of this study was to verify the efficacy of oral hygiene protocols in ICU patients in the prevention of ventilator-associated pneumonia or nosocomial pneumonia. An integrative literature review was carried out with searches in the Pubmed/MEDLINE and Scielo databases, in which 23 articles were selected for qualitative analysis after application of the eligibility criteria guided by the PRISMA strategy. We noticed that the use of chlorhexidine seems to be the most recurrent protocol in the studies, with better results when associated with the mechanical adequacy provided by brushing, in reducing the cases of nosocomial pneumonia. Other methods such as the use of povidone-iodine and supraglottic aspiration were mentioned, although their effects are still controversial. Thus, we conclude that although there is not a well-defined protocol for the control of oral biofilm and consequent reduction in the prevalence of pneumonia, chlorhexidine associated with brushing seems to be the most promising method. More studies with robust methodology are needed for the understanding and proposal of protocols based on scientific evidence for oral hygiene of patients in intensive care, focused on reducing morbidity and mortality from nosocomial pneumonia. |
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Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature reviewImpacto de la higiene bucal de los pacientes de cuidados intensivos en la neumonía nosocomial y asociada a la ventilación: revisión bibliográfica integradoraImpactos da higiene bucal de pacientes em terapia intensiva sobre pneumonias nosocomiais e associadas à ventilação mecânica: revisão integrativa da literaturaHospital dental staffDentistryIntensive Care UnitOral hygiene.Personal de Odontología en HospitalOdontologíaUnidades de Cuidados IntensivosHigiene bucal.Equipe hospitalar de OdontologiaOdontologiaUnidade de Terapia IntensivaHigiene bucal.Hospital Dentistry has been gaining field, since several successful experiences, associated with scientific evidence have shown that dental care at the hospital level can contribute to the reduction of cases of nosocomial pneumonia associated with mechanical ventilation, thus reducing the length of hospital stay and consequently the costs of this process. The objective of this study was to verify the efficacy of oral hygiene protocols in ICU patients in the prevention of ventilator-associated pneumonia or nosocomial pneumonia. An integrative literature review was carried out with searches in the Pubmed/MEDLINE and Scielo databases, in which 23 articles were selected for qualitative analysis after application of the eligibility criteria guided by the PRISMA strategy. We noticed that the use of chlorhexidine seems to be the most recurrent protocol in the studies, with better results when associated with the mechanical adequacy provided by brushing, in reducing the cases of nosocomial pneumonia. Other methods such as the use of povidone-iodine and supraglottic aspiration were mentioned, although their effects are still controversial. Thus, we conclude that although there is not a well-defined protocol for the control of oral biofilm and consequent reduction in the prevalence of pneumonia, chlorhexidine associated with brushing seems to be the most promising method. More studies with robust methodology are needed for the understanding and proposal of protocols based on scientific evidence for oral hygiene of patients in intensive care, focused on reducing morbidity and mortality from nosocomial pneumonia.La Odontología Hospitalaria ha ido ganando terreno, ya que varias experiencias exitosas, asociadas a la evidencia científica han demostrado que la atención odontológica a nivel hospitalario puede contribuir a reducir los casos de neumonía nosocomial, asociada a la ventilación mecánica, reduciendo así la duración de la estancia hospitalaria y consecuentemente los costes de este proceso. El objetivo de este trabajo fue comprobar la eficacia de los protocolos de higiene oral en pacientes de la UCI en la prevención de la neumonía asociada al ventilador o la neumonía nosocomial. Se realizó una revisión bibliográfica integradora con búsquedas en las bases de datos Pubmed/MEDLINE y Scielo, en la que se seleccionaron 23 artículos para el análisis cualitativo tras la aplicación de los criterios de elegibilidad guiados por la estrategia PRISMA. Observamos que el uso de clorhexidina parece ser el protocolo más recurrente en los estudios, con mejores resultados cuando se asocia a la adecuación mecánica proporcionada por el cepillado, en la reducción de los casos de neumonía nosocomial. Se mencionaron otros métodos como la povidona yodada y la aspiración supraglótica, aunque sus efectos siguen siendo controvertidos. Así pues, concluimos que, aunque no existe un protocolo bien definido para el control del biofilm oral y la consiguiente reducción de la prevalencia de la neumonía, la clorhexidina asociada al cepillado parece ser el método más prometedor. Se necesitan más estudios con metodología robusta para conocer y proponer protocolos basados en la evidencia científica para la higiene bucal de los pacientes en cuidados intensivos, enfocados a reducir la morbilidad y mortalidad por neumonía nosocomial.A Odontologia Hospitalar tem ganhado campo, já que diversas experiências exitosas, associadas à evidências científicas tem demonstrado que a assistência odontológica a nível hospitalar pode contribuir para a redução dos casos de pneumonia nosocomial, associada à ventilação mecânica reduzindo assim o tempo de internação e consequentemente os custos desse processo. O objetivo desse trabalho foi verificar a eficácia dos protocolos de higienização bucal em pacientes internados em UTI, na prevenção da pneumonia associada à ventilação mecânica ou pneumonia nosocomial. Foi realizada uma revisão integrativa da literatura com buscas nas bases de dados Pubmed/MEDLINE e Scielo, na qual 23 artigos foram selecionados para a análise qualitativa após a aplicação dos critérios de elegibilidade norteados pela estratégia PRISMA. Percebe-se que o uso de Clorexidina parece ser o protocolo mais recorrente nos estudos, inclusive, com melhores resultados quando associado à adequação mecânica propiciada pela escovação, na redução dos casos de pneumonia nosocomial. Outros métodos como o uso da Iodopovidona e aspiração supraglótica foram citados, embora seus efeitos ainda sejam controversos. Dessa forma, conclui-se que apesar de não haver um protocolo bem delineado para o controle do biofilme oral e consequente redução da prevalência das pneumonias, a Clorexidina associada à escovação parece ser o método mais promissor. Mais estudos com metodologias robustas são necessários para a compreensão e propostas de protocolos baseados em evidências científicas para higienização oral de pacientes em terapia intensiva, com foco em reduzir a morbimortalidade por pneumonia nosocomial. Research, Society and Development2021-10-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2158610.33448/rsd-v10i13.21586Research, Society and Development; Vol. 10 No. 13; e376101321586Research, Society and Development; Vol. 10 Núm. 13; e376101321586Research, Society and Development; v. 10 n. 13; e3761013215862525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/21586/18975Copyright (c) 2021 Gabriel Borges Di Paolo; Carolina Silva Pereira; Anisio Rodiney Souza Júnior; Fabrício Campos Machado; Thiago de Amorim Carvalhohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDi Paolo, Gabriel BorgesPereira, Carolina SilvaSouza Júnior, Anisio RodineyMachado, Fabrício CamposCarvalho, Thiago de Amorim 2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21586Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:58.517653Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review Impacto de la higiene bucal de los pacientes de cuidados intensivos en la neumonía nosocomial y asociada a la ventilación: revisión bibliográfica integradora Impactos da higiene bucal de pacientes em terapia intensiva sobre pneumonias nosocomiais e associadas à ventilação mecânica: revisão integrativa da literatura |
title |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
spellingShingle |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review Di Paolo, Gabriel Borges Hospital dental staff Dentistry Intensive Care Unit Oral hygiene. Personal de Odontología en Hospital Odontología Unidades de Cuidados Intensivos Higiene bucal. Equipe hospitalar de Odontologia Odontologia Unidade de Terapia Intensiva Higiene bucal. |
title_short |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
title_full |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
title_fullStr |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
title_full_unstemmed |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
title_sort |
Impacts of intensive care patients' oral hygiene on nosocomial and ventilator-associated pneumonia: integrative literature review |
author |
Di Paolo, Gabriel Borges |
author_facet |
Di Paolo, Gabriel Borges Pereira, Carolina Silva Souza Júnior, Anisio Rodiney Machado, Fabrício Campos Carvalho, Thiago de Amorim |
author_role |
author |
author2 |
Pereira, Carolina Silva Souza Júnior, Anisio Rodiney Machado, Fabrício Campos Carvalho, Thiago de Amorim |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Di Paolo, Gabriel Borges Pereira, Carolina Silva Souza Júnior, Anisio Rodiney Machado, Fabrício Campos Carvalho, Thiago de Amorim |
dc.subject.por.fl_str_mv |
Hospital dental staff Dentistry Intensive Care Unit Oral hygiene. Personal de Odontología en Hospital Odontología Unidades de Cuidados Intensivos Higiene bucal. Equipe hospitalar de Odontologia Odontologia Unidade de Terapia Intensiva Higiene bucal. |
topic |
Hospital dental staff Dentistry Intensive Care Unit Oral hygiene. Personal de Odontología en Hospital Odontología Unidades de Cuidados Intensivos Higiene bucal. Equipe hospitalar de Odontologia Odontologia Unidade de Terapia Intensiva Higiene bucal. |
description |
Hospital Dentistry has been gaining field, since several successful experiences, associated with scientific evidence have shown that dental care at the hospital level can contribute to the reduction of cases of nosocomial pneumonia associated with mechanical ventilation, thus reducing the length of hospital stay and consequently the costs of this process. The objective of this study was to verify the efficacy of oral hygiene protocols in ICU patients in the prevention of ventilator-associated pneumonia or nosocomial pneumonia. An integrative literature review was carried out with searches in the Pubmed/MEDLINE and Scielo databases, in which 23 articles were selected for qualitative analysis after application of the eligibility criteria guided by the PRISMA strategy. We noticed that the use of chlorhexidine seems to be the most recurrent protocol in the studies, with better results when associated with the mechanical adequacy provided by brushing, in reducing the cases of nosocomial pneumonia. Other methods such as the use of povidone-iodine and supraglottic aspiration were mentioned, although their effects are still controversial. Thus, we conclude that although there is not a well-defined protocol for the control of oral biofilm and consequent reduction in the prevalence of pneumonia, chlorhexidine associated with brushing seems to be the most promising method. More studies with robust methodology are needed for the understanding and proposal of protocols based on scientific evidence for oral hygiene of patients in intensive care, focused on reducing morbidity and mortality from nosocomial pneumonia. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-15 |
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/21586 10.33448/rsd-v10i13.21586 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21586 |
identifier_str_mv |
10.33448/rsd-v10i13.21586 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21586/18975 |
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. 10 No. 13; e376101321586 Research, Society and Development; Vol. 10 Núm. 13; e376101321586 Research, Society and Development; v. 10 n. 13; e376101321586 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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1797052789789032448 |