Impact of oral hygiene on prevention of ventilator-associated pneumonia in neuroscience patients

Journal of Nursing Care Quality

Volumn 22, Issue 4, 2007, Pages 316-321

  Powers, Jan ^a,b   Brower, Amy ^a   Tolliver, Suzanne ^a  

^a INDIANA UNIVERSITY HEALTH   (United States)

^b Critical Care and Neuroscience

Author keywords

Neuroscience patients; Oral care; Oral hygiene; Ventilator associated pneumonia

Indexed keywords

ARTICLE; EVALUATION; EVIDENCE BASED MEDICINE; HUMAN; INFECTION CONTROL; INTENSIVE CARE; METHODOLOGY; MOUTH HYGIENE; NEUROLOGIC DISEASE; NEUROSCIENCE; NURSE ATTITUDE; NURSING; NURSING EVALUATION RESEARCH; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PRIMARY PREVENTION; RISK FACTOR; SUCTION; TOOTH PLAQUE; TOTAL QUALITY MANAGEMENT; UNITED STATES; VENTILATOR ASSOCIATED PNEUMONIA;

CRITICAL CARE; DENTAL PLAQUE; EVIDENCE-BASED MEDICINE; HUMANS; INDIANA; INFECTION CONTROL; NERVOUS SYSTEM DISEASES; NEUROSCIENCES; NURSE'S ROLE; NURSING EVALUATION RESEARCH; ORAL HYGIENE; OUTCOME ASSESSMENT (HEALTH CARE); PNEUMONIA, VENTILATOR-ASSOCIATED; PRIMARY PREVENTION; RISK FACTORS; SUCTION; TOTAL QUALITY MANAGEMENT;

EID: 34548686803     PISSN: 10573631     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.NCQ.0000290412.04522.42     Document Type: Article

References (32)

1. Rello J, Ollendorf DA, Oster G, et al, for the VAP Outcomes Scientific Advisory Group. Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest. 2002;122(6):2115-2121.
2. Craven DE, Steger KA, Barat LM, Duncan RA. Nosocomial pneumonia: epidemiology and infection control. Intens Care Med 1992;18(suppl 1):S3-S9.
3. Craven DE, DeRosa FG, Thornton D. Nosocomial pneumonia: emerging concepts in diagnosis, management, and prophylaxis. Curr Opin Crit Care. 2002;8(5):421-429.
4. Fagon JY, Chastre J, Wolff M, et al, for the VAP Trial Group. Invasive and noninvasive strategies for management of suspected ventilator-associated pneumonia: a randomized trial. Ann Intern Med. 2000;132(8):621-630.
5. Chlebicki M, Safdar N. Topical Chlorhexidine for prevention of ventilator-associated pneumonia: a metaanalysis. Crit Care Med. 2007;35(2):595-602.
6. Chastre J, Fagon JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002;165(7):867-903.
7. Kollef MH. Ventilator-associated pneumonia. JAMA. 1993;270(16):1965-1970.
8. Torres A, Serra-Batlles J, Ros E, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann Intern Med. 1992;116(7):540-543.
9. Baker JJ, Lambert RL, Poulos KM, Feldman JI. Managing the cost of care: a predictive study to identify critical care patients at risk for nosocomial pneumonia. J Health Care Fin. 2000;26(3):73-82.
10. Safdar N, Dezfulian C, Collard HR, et al. Clinical and economical consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med. 2005;33(10):2184-2193.
11. Keenan SP, Heyland DK, Jacka MJ, Cook D, Dodek P. Ventilator-associated pneumonia, prevention, diagnosis and therapy. Crit Care Clin. 2002;18(1):107-125.
12. Cocanour CS, Ostrosky-Zeichner L, Peninger M, et al. Cost of ventilator associated pneumonia in a shock trauma intensive care unit. Surg Inf 2005;6(1):65-72.
13. Centers for Disease Control and Prevention. Guidelines for preventing health-care-associated pneumonia. Atlanta, GA: US Department of Health and Human Services; 2004.
14. American Thoracic Society. Hospital-acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategies. A consensus statement. Am J Respir Crit Care Med. 1995;153(5):1711-1725.
15. Munro CL, Grap MJ, Jablonski R, Boyle A. Oral health measurement in nursing research: state of the science. Biol Res Nurs. 2006;8(1):35-42.
16. Fourrier F, Duvivier B, Boutigny H, Roussel-Dalvallez M, Chopin C. Colonization of dental plaque: a source of nosocomial infections in intensive care unit patients. Crit Care Med. 1998;26(2):301-308.
17. Garrouste-Orgeas M, Chevret S, Arlet G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients: a prospective study based on genomic DNA analysis. Am J Respir Crit Care Med 1997;156(5):1647-1655.
18. Scannapieco FA, Stewart EM, Mylotte JM. Colonization of dental plaque by respiratory pathogen in medical intensive care patients. Crit Care Med. 1992;20(6):740-745.
19. van Nieuwenhoven CA, Buskens E, Bergmans DC, van Tiel FH, Ramsay G, Bonten MJ. Oral decontamination is cost-saving in the prevention of ventilator-associated pneumonia in intensive care units. Crit Care Med. 2004;32(1):126-130.
20. Houston S, Hougland P, Anderson JJ, LaRocco M, Kennedy V, Gentry LO. Effectiveness of 0.12% Chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care. 2002;11(6):567-570.
21. DeRiso AJ, Ladowski JS, Dillon TA, Justice JW, Peterson AC. Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest. 1996;109(6):1556-1561.
22. Munro CL, Grap MJ, Elswick RK, McKinney J, Sessler CN, Hummel RS. Oral health status and development of ventilator-associated pneumonia: a descriptive study. Am J Crit Care. 2006;15(5):453-460.
23. Fourrier F, Dubois D, Pronnier P et al. Effect of gingival and dental plaque antiseptic decontamination on nosocomial infections acquired in the intensive care unit: a double-blind placebo-controlled multicenter study. Crit Care Med 2005;33(8):1728-1735.
24. Dodek P, Keenan S, Cook D, et al. Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia. Ann Intern Med. 2004;141(4):305-313.
25. Vincent JL. Ventilator-associated pneumonia. J Hosp Inf 2004;57(4):272-280.
26. Berrouane Y, Daudenthun I, Riegel B, et al. Early onset pneumonia in neurosurgical intensive care unit patients.. J Hosp Inf. 1998;40(4):275-280.
27. Meert KL, Long M, Kaplan J, Sarnaik AP. Alterations in immune function following head injury in children. Crit Care Med. 1995;23(5):822-828.
28. Cavalcanti M, Ferrer M, Ferrer R, Morforte R, Garnacho A, Torres A. Risk and prognostic factors of ventilator-associated pneumonia in trauma patients. Crit Care Med. 2006;34(4):1067-1072.
29. Pelosi P, Severgnini P, Chiaranda M. An integrated approach to prevent and treat respiratory failure in brain-injured patients. Curr Opin Crit Care. 2005;11(1):37-42.
30. Helling TS, Evans LL, Fowler DL, Hays LV, Kennedy FR. Infectious complications in patients with severe head injury. J Trauma. 1988;28(11):1575-1577.
31. Ahrens T, Kollef M, Stewart J, Shannon W. Effect of kinetic therapy on pulmonary complications. Am J Crit Care. 2004;13(5):376-383.
32. deBoisblanc BP. Body position and pneumonia. Crit Care Med 1999;27(4):678-679.