Effects of three approaches to standardized oral hygiene to reduce bacterial colonization and ventilator associated pneumonia in mechanically ventilated patients: A randomised control trial

International Journal of Nursing Studies

Volumn 48, Issue 6, 2011, Pages 681-688

  Berry, A M ^a,b   Davidson, P M ^c   Masters, J ^d   Rolls, K ^e   Ollerton, R ^b  

^a WESTMEAD HOSPITAL   (Australia)

^b UNIVERSITY OF WESTERN SYDNEY   (Australia)

^c CURTIN UNIVERSITY   (Australia)

^d BLACKTOWN HOSPITAL   (Australia)

^e NSW Intensive Care Coordination and Monitoring Unit   (Australia)

Author keywords

Critical care; Intensive care unit; Oral hygiene; Ventilator associated pneumonia

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BACTERIUM; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEASIBILITY STUDY; FEMALE; GROWTH, DEVELOPMENT AND AGING; HUMAN; MALE; MICROBIOLOGY; MIDDLE AGED; MOUTH; MOUTH HYGIENE; RANDOMIZED CONTROLLED TRIAL; VENTILATOR ASSOCIATED PNEUMONIA;

ADULT; AGED; BACTERIA; FEASIBILITY STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; MOUTH; ORAL HYGIENE; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATION, ARTIFICIAL;

EID: 79957883750     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2010.11.004     Document Type: Article

References (42)

1. American Dental Association Oral Health Topics 2005, American Dental Association.
2. Aurora S.C., Mudaliar Y.M., Lee C., Mitchell D., Iredell J., Lazarus R. Non-bronchoscopie bronchoalveolar lavage in the microbiological diagnosis of pneumonia in mechanically ventilated patients. Anaesthesia and Intensive Care 2002, 30(1):11-20.
3. Bagg, J., MacFarlane, T. W., Poxton, I. R., Miller, C. H., Smith, A. J., 1999. The oral microflora and dental plaque, in Essentials of microbiology for dental students. Oxford University Press: Oxford. p. 229-310.
4. Berry A.M., Davidson P.M., Masters J., Rolls K. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. American Journal of Critical Care 2007, 16(6):552-563.
5. Carl W., Daly C., Andreana S., Ciancio S.G., Cohen R.E., Nisengard R.J. Clinical evaluation of the effect of a hydrogen peroxide mouth rinse, toothette-plus swab containing sodium bicarbonate, and a water-based mouth moisturizer on oral health in medically compromised patients. Periodontal Insights 1999, 1-5.
6. Chaste J., Fagon J. Ventilator-associated pneumonia. American Journal of Respiratory and Critical Care Medicine 2002, 165:867-903.
7. Chastre J., Fagon J. State of the art. Ventilator-associated pneumonia. American Journal of Respiratory and Critical Care Medicine 2002, 165(7):867-903.
8. Collard H., Saint S., Matthay M. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Annals of Internal Medicine 2003, 138(6):494-501.
9. Cutler C., Davis N. Improving oral care in patients receiving mechanical ventilation. American Journal of Critical Care 2005, 14(5):389-394.
10. De Riso A.J., Ladowski J.S., Dillon T.A., Justice J.W., Peterson A.C. 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.
11. Dodd M.J., Dibble S.L., Miaskowski C., MacPhail L., Greenspan D., Paul S.M., Shiba G., Larson P. Randomised clinical trial of the effectiveness of 3 commonly used mouthwashes to treat chemotherapy-induced mucositis. Oral Surgery Oral Medicine Oral Pathology 2000, 90(1):39-47.
12. Dudjak L. Mouth care for mucositis due to radiation therapy. Cancer Nursing 1987, 10(3):131-140.
13. Fitch J.A., Munro C.L., Glass C.A., Pellegrini J.M. Oral care in the adult intensive care unit. American Journal of Critical Care 1999, 8(5):314-318.
14. Fourrier F., Cau-Pottier E., Boutigny H., Roussel-Delvallez M., Jourdain M., Chopin C., Duvivier B., Boutigny H., Roussel-Delvallez M. Colonization of dental plaque: A source of nosocomial infections in intensive care unit patients. Critical Care Medicine 1998, 26(2):301-308.
15. Fourrier F., Cau-Pottier E., Boutigny H., Roussel-Delvallez M., Jourdain M., Chopin C. Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients. Intensive Care Medicine 2000, 26:1239-1247.
16. Fourrier F., Dubois D., Pronnier P., Herbecq P., Leroy O., Desmettre T., Cau-Pottier E., Boutigny H., Pompeo C., Durocher A., Roussel-Delvallez M. Effect of gingival and dental plaque antiseptic decontamination on nosocomial infections acquired in the intensive care unit: A double-blind placebo-controlled multicenter study. Critical Care Medicine 2005, 33(8):1728-1735.
17. Franklin D., Senior N., James I., Roberts G. Oral health status of children in a paediatric intensive care unit. Intensive Care Medicine 2000, 26(3):319-324.
18. Ganz F.D.K., Fink N.F., Raanan O., et al. ICU nurses' oral-care practices and the current best evidence. Journal of Nursing Scholarship 2009, 41:132-138.
19. Garcia R., Jendresky L., Colbert L., Bailey A., Zaman M., Majumder M. Reducing ventilator-associated pneumonia through advanced oral-dental care: a 48-month study. American Journal of Critical Care 2009, 10.4037/ajcc2009311.
20. Genuit T., Bochicchio G., Napolitano L.M., McCarter R.J., Roghman M.C. Prophylactic chlorhexidine oral rinse decreases ventilator-associated pneumonia in surgical ICU patients. Surgical Infection 2001, 2(1):5-18.
21. Gibbons R. Bacterial Adhesion to Oral Tissues: A Model for Infectious Diseases. J Dent Res 1989, 68(5):750-760.
22. Grap M.J., Munro C.L., Elswick R.K., Sessler C.N., Ward K.R. Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: a feasibility study. Heart and Lung 2004, 33(2):83-91.
23. Griffiths A.J., Jones V., Leeman I., Lewis D., Patel K., Wilson K. Guidelines for the development of local standards of oral health care for dependent, dysphagic, critically and terminally ill patients. British Society for Disability and Oral Health 2000, 1-4.
24. Hartzell J.D., Torres D., Kim P., Wortmann G. Incidence of bacteremia after routine tooth brushing. The American Journal of the Medical Sciences 2005, 329(4):178.
25. Heyland D., Kingston O., Cook D., Hamilton O., Dodek P., Muscedere J., Day A. A randomised trial of diagnostic techniques for ventilator-associated pneumonia. New England Journal of Medicine 2006, 355(25):2619-2630.
26. Hingston C.D., Cole J.M., Hingston E.J., Frost P.J., Wise M.P. Oral hygiene and nosocomial pneumonia in critically III patients. Chest 2010, 137:237.
27. Houston S. Effectiveness of 0.12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. American Journal of Critical Care 2002, 11(6):567-570.
28. Houston S., Gentry L., Pruitt V., Dao T., Zabaneh F., Sabo J. Reducing the incidence of nosocomial pneumonia in cardiovascular surgery patients. Quality Management in Health Care 2003, 12(1):28-41.
29. Jones C. Chlorhexidine: is it still the gold standard?. Periodontology 2000, 15:55-62.
30. Kleinbaum D.G., Kupper L.L., Muller K.E. Variable reduction and factor analysis. Applied Regression Analysis and Other Multivariable Methods 1988, 595-640.
31. Koeman M., van der Ven A.J., Hak E., Joore H.C., Kaasjager K., de Smet A.G., Ramsay G., Dormans T.P., Aarts L.P., de Bel E.E., Hustinx W.N., van der Tweel I., Hospelman I.M., Bonten M.J. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. American Journal of Respiratory and Critical Care Medicine 2006, 173:1348-1355.
32. Koeman M., Ramsay A.J., Hospelman G., Bonten I.M. Ventilator-associated pneumonia: recent issues on pathogenesis, prevention and diagnosis. Journal of Hospital Infection 2001, 49:155-162.
33. Mori H., Hirasawa H., Oda S., Shiga H., Matsuda K., Nakamura M. Oral care reduces incidence of ventilator-associated pneumonia in ICU populations. Intensive Care Medicine 2006, 32:230-236.
34. Pearson L.S. A comparison of the ability of foam swabs and toothbrushes to remove dental plaque: implications for nursing practice. Journal of Advanced Nursing 2006, 23(1):62-69.
35. Pugin J., Auckenthaler R., Lew D.P., Suter P.M. Oropharyngeal decontamination decreases incidence of ventilator-associated pneumonia. JAMA 1991, 265(20):2704-2710.
36. Robriquet L., Fourrier F. Oral hygiene and ventilator-associated pneumonia. Current Respiratory Medicine Reviews 2010, 6:65-71.
37. Scannapieco F.A. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systemic review. Annals of Periodontology 2003, 8(1):54-68.
38. Scannapieco F.A., Stewart E.M., Mylotte J.M. Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Critical Care Medicine 1992, 20(6):740-745.
39. Scannapieco F.A. Relationships between periodontal disease and bacterial pneumonia. Journal of Periodontology 1996, 67(10 Suppl):1114-1122.
40. Seguin P., Tanguy M., Laviolle B., Tirel O., Malledant Y. Effect of oropharyngeal decontamination by povidoniodine on ventilator-associated pneumonia in patients with head trauma. Critical Care Medicine 2006, 34(5):1514-1519.
41. Spraycar, M., 1995. Stedman's Medical Dictionary. 26th ed., Baltimore: Williams & Wilkins.
42. Tablan O.C., Anderson L.J., Besser R., Bridges C., Hajjeh R. Guidelines for Preventing Health-Care-Associated Pneumonia: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee 2003, http://www.guideline.gov/.