Effectiveness of oral care in the prevention of ventilator-associated pneumonia. systematic review and meta-analysis of randomised clinical trials;Efectividad de los cuidados orales en la prevención de la neumonía asociada a ventilación mecánica. Revisión sistemática y meta-análisis de ensayos clínicos aleatorios

Enfermeria Clinica

Volumn 21, Issue 6, 2011, Pages 308-319

  Zamora Zamora, Francisca ^a  

^a Hospital Universitario Medico Quirurgico   (Spain)

Author keywords

Chlorhexidine; Mechanical Ventilators; Oral care; Oral Hygiene; Tooth brushing; Ventilator Associated Pneumonia

Indexed keywords

CHLORHEXIDINE; MOUTHWASH;

ARTICLE; HUMAN; META ANALYSIS; MOUTH HYGIENE; RANDOMIZED CONTROLLED TRIAL (TOPIC); VENTILATOR ASSOCIATED PNEUMONIA;

CHLORHEXIDINE; HUMANS; MOUTHWASHES; ORAL HYGIENE; PNEUMONIA, VENTILATOR-ASSOCIATED; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 83255176689     PISSN: 11308621     EISSN: 15792013     Source Type: Journal    
DOI: 10.1016/j.enfcli.2011.09.008     Document Type: Article

References (30)

1. Lorente Ramos, L. Manejo de la vía aérea para prevenir la neumonía asociada a la ventilación mecánica Med Intensiva.; 29(2):88-102.
2. Guardiola J.J., Sarmiento X., Rello J. Neumonía asociada a ventilación mecánica:riesgos, problemas y nuevos conceptos. Med Intensiva 2001, 25.
3. Fourrier F., Dubois D., Pronnier P., Herbecq P., Leroy O., Desmettre T., 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, 33:1728-1735. PIRAD Study Group.
4. Pineda L.A., Saliba R.G., El Solh A.A. Effect of oral decontamination with chlorhexidine on the incidence of nosocomial pneumonia: a meta-analysis. Critical Care 2006, 10:R35.
5. Tantipong H., Morkchareonpong C., Jaiyindee S., Thamlikitkul V. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2008, 29:131-136.
6. Tablan O.C., Anderson L.J., Besser R., Bridges C., Hajjeh R. Guidelines for preventing healthcare-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection. Control Practices Advisory Committee. MMWR Recomm Rep 2004, 53:1-36.
7. ACTION PLAN TO PREVENT HEALTHCARE-ASSOCIATED INFECTIONS. Department of Health and Human Services 06222009 Section 5: Prevention-Prioritized Recommendations. Consultado 8/3/10 http://www.hhs.gov/ophs/initiatives/hai/draft-hai-plan-01062009.pdf.
8. Torres A., Carlet J., Bouza E., Brun-Buisson C., Chastre J., Ewig S., et al. Ventilator-associated pneumonia. Eur Respir J 2001, 17:1034-1045. European Task Force on ventilator-associated pneumonia.
9. Chlebicki M.P., Safdar N. Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis. Crit Care Med 2007, 35:595-602.
10. Kola A., Gastmeier P. Efficacy of oral chlorhexidine in preventing lower respiratory tract infections: meta-analysis of randomized controlled trials. J Hosp Infect 2007, 66:207-216.
11. Chan E.Y., Ruest A., Meade M.O., Cook D.J. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis. BMJ 2007, 334:889.
12. Neumonía Asociada a Ventilación Mecánica 2009, Grupo de trabajo de enfermedades Infecciosas(GTEI-SEMICYUC)XX Reunión, Entheos, Madrid.
13. Garner J.S., Jarvis W.R., Emori T.G., et al. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988, 16:128-140.
14. Pugin J., Auckenthaler R., Lew D.P., et al. Oropharyngeal decontamination decreases incidence of ventilator-associated pneumonia: A randomized, placebo-controlled, double-blind clinical trial. JAMA 1991, 265:2704-2710.
15. Cabello J.B. por CASPe. Plantilla para ayudarte a entender un Ensayo Clínico. CASPe. Guías CASPe de Lectura Crítica de la Literatura Médica 2005, CASPe, Alicante, Cuaderno I. p.5-8.
16. Cobos-Carbó A. Ensayos clínicos aleatorizados (CONSORT). Med Clin (Barc) 2005, 125(Suppl 1):21-27.
17. Bergmans D.C., Bonten M.J., Gaillard C.A., et al. Prevention of ventilator-associated pneumonia by oral decontamination: A prospective, randomized, double-blind,placebo-controlled study. Am J Respir Crit Care Med 2001, 164:382-388.
18. Koeman M., van der Ven A.J., Hak E., Joore H.C., Kaasjager K., De Smet A.G., et al. Oral decontamination with chlorhexidine reduces the incidence ofventilator-associated pneumonia. Am J Respir Crit Care Med 2006 Jun 15, 173:1348-1355.
19. Scannapieco F.A., Yu J., Raghavendran K., Vacanti A., Owens S.I., Wood K., et al. A randomized trial of chlorhexidine gluconate on oral bacterial pathogens in mechanically ventilated patients. Crit Care 2009, 13:R117.
20. Munro C.L., Grap M.J., Jones D.J., McClish D.K., Sessler C.N. Chlorhexidine, toothbrushing, and preventing ventilatorassociatedpneumonia in critically ill adults, Am. J Crit Care 2009, 18:428-437. quiz 438.
21. Pobo A., Lisboa T., Rodriguez A., Sole R., Magret M., Trefler S., et al. A randomized trial of dental brushing for preventing ventilator-associated pneumonia. Chest 2009, 136:433-439. RASPALL Study Investigators.
22. Bellissimo-Rodrigues F., Bellissimo-Rodrigues W.T., Viana J.M., Teixeira G.C., Nicolini E., Auxiliadora-Martins M., et al. Effectiveness of oral rinse with chlorhexidine in preventing nosocomial respiratory tract infections among intensive care unit patients. Infect Control Hosp Epidemiol 2009, 30:952-958.
23. Fourrier F., Cau-Pottier E., Boutigny H., et al. Effects of dental plaque antiseptic decontaminationon bacterial colonization and nosocomialinfections in critically ill patients. Intensive Care Med 2000, 26:1239-1247.
24. Seguin P., Tanguy M., Laviolle B., Tirel O., Malledant Y. Effect of oropharyngeal decontamination by povidone-iodine on ventilator-associated pneumonia in patients with head trauma. Crit Care Med 2006, 34:1514-1911.
25. Kollef M., Pittet D., Sanchez Garcia M., Chastre J., Fagon J.Y., Bonten M., et al. A randomized double-blind trial of iseganan in prevention of ventilator-associated pneumonia Am. J Respir Crit Care Med 2006, 173:91-97. Prevention of Pneumonia Study (POPS-1) Trial Group.
26. DeRiso A.J.I.I., Ladowski J.S., Dillon T.A., et al. Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and non prophylactic systemic antibiotic use in patients undergoing heart surgery. Chest 1996, 109:1556-1561.
27. Houston S., Hougland P., Anderson J.J., et al. Effectiveness of 0. 12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care 2002, 11:567-570.
28. Powers J., Brower A., Tolliver S. Impact of oral hygiene on prevention of ventilator-associated pneumonia in neuroscience patients. J Nurs Care Qual 2007, 22:21-36.
29. Fields L.B. Oral care intervention to reduce incidence of ventilator-associated pneumonia in the neurologic intensive care unit. J Neurosci Nurs 2008, 40:291-298.
30. Urrútia G., Bonfil X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Med Clin (Barc) 2010, 135:507-511.