20581 Reduction of microbial colonization in the oropharynx and dental plaque reduces ventilator-associated pneumonia poster
نویسنده
چکیده
BACKGROUND: An estimated 150,000 to 300,000 cases of nosocomial pneumonia occur each year in US hospitals. The primary risk factor for nosocomial bacterial pneumonia is mechanical ventilation using an endotracheal tube. Ventilator-associated pneumonia (VAP) outcomes can be severe with mortality reaching 87%. VAP also extends length of stay by an average of 6 days and can cost >$40,000 per event. The scientific literature provides strong evidence of an association between oropharyngeal and dental plaque colonization and respiratory infection.
منابع مشابه
Erratum to: Impact of oral hygiene involving toothbrushing versus chlorhexidine in the prevention of ventilator-associated pneumonia: a randomized study
BACKGROUND Nosocomial pneumonia has correlated to dental plaque and to oropharynx colonization in patients receiving mechanical ventilation. The interruption of this process, by preventing colonization of pathogenic bacteria, represents a potential procedure for the prevention of ventilator-associated pneumonia (VAP). METHODS The study design was a prospective, randomized trial to verify if o...
متن کاملEfficacy of oral chlorhexidine in critical care
In their review of airway hygiene, Jelic and colleagues highlighted that colonization or infection of the upper airway precedes the development of ventilator-associated pneumonia [1]. Although the effects of chlorhexidine on reducing pneumonia were discussed, there was no mention of the possible contribution of physical plaque removal, in particular tooth brushing, which is often performed eith...
متن کاملOral health status and development of ventilator-associated pneumonia: a descriptive study.
BACKGROUND Ventilator-associated pneumonia is a significant cause of morbidity and mortality and may be influenced by oral health. OBJECTIVE To describe the relationship between ventilator-associated pneumonia and oral health status, changes in oral health status during the first 7 days after intubation, and microbial colonization of the oropharynx and trachea. METHODS A total of 66 patient...
متن کاملRespiratory pathogen colonization of dental plaque, the lower airways, and endotracheal tube biofilms during mechanical ventilation.
PURPOSE In mechanically ventilated patients, the endotracheal tube is an essential interface between the patient and ventilator, but inadvertently, it also facilitates the development of ventilator-associated pneumonia (VAP) by subverting pulmonary host defenses. A number of investigations suggest that bacteria colonizing the oral cavity may be important in the etiology of VAP. The present stud...
متن کاملنقش مراقبت از دهان در پیشگیری از پنومونی ناشی از ونتیلاتور: یک مطالعه مروری
Introduction: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection reported among mechanical ventilation patients in intensive care units(ICU). Ventilator-associated pneumonia is associated with increased morbidity, mortality hospital, length of stay and health care costs. Oral health can be compromised by critical illness and by mechanical ventilation and thus, it dete...
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