Nosocomial pneumonia and oral health.
نویسندگان
چکیده
This article will critically review the evidence linking pneumonia to the aspiration of microbe-laden oropharyngeal secretions and tie that to the predisposition for these processes to affect dependent, medically compromised individuals. The goal of this review is to alert the reader to the role that oral disease and oral health play in fostering and preventing, respectively, widespread and potentially fatal pulmonary disease among high-risk individuals.
منابع مشابه
Nosocomial pneumonia: importance of the oral environment.
Nosocomial pneumonia, especially ventilator-associated pneumonia, is a common infection in ICUs. The main etiologic factors involve colonizing and opportunistic bacteria from the oral cavity. Oral hygiene measures, including the use of oral antiseptic agents, such as chlorhexidine, have proven useful in reducing its incidence. The objective of this article was to review the literature on the im...
متن کاملEffect of metoclopramide on nosocomial pneumonia in patients with nasogastric feeding in the intensive care unit.
This study in the Islamic Republic of Iran aimed to determine whether metoclopramide can prevent nosocomial pneumonia in the intensive care unit (ICU). Of 220 patients admitted to the surgical ICU who had a nasogastric tube for more than 24 hours, 68 case patients received oral metoclopramide (10 mg every 8 hours) and 152 control patients did not. Similar proportions of cases and controls devel...
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...
متن کاملEffects of daily oral care with 0.12% chlorhexidine gluconate and a standard oral care protocol on the development of nosocomial pneumonia in intubated patients: a pilot study.
PURPOSE The purpose of this pilot study was to determine if a difference existed between nosocomial pneumonia rates for intubated critical care unit (CCU) patients who received twice-daily oral hygiene care with 0.12% chlorhexidine gluconate and those who received the standard oral care. METHODS Over seven months (February to August), CCU patients were identified through screening and informe...
متن کاملEffect of oral decontamination with chlorhexidine on the incidence of nosocomial pneumonia: a meta-analysis
INTRODUCTION Nosocomial pneumonia is a significant cause of in-hospital morbidity and mortality. Oral care interventions have great potential to reduce the occurrence of nosocomial pneumonia. Studies using topical antiseptic agents yielded mixed results. We hypothesized that the use of chlorhexidine for oral decontamination would reduce the incidence of nosocomial pneumonia in patients requirin...
متن کاملLetter to the editor on: Oral care and nosocomial pneumonia: a systematic review. einstein (São Paulo). 2015;13(2):290-6.
I read with interest the systematic review “Oral care and nosocomial pneumonia: a systematic review” published in einstein (São Paulo),(1) which describes evidences of an association between oral care and reduction in the incidence of nosocomial pneumonia. I would like to express some concerns about the study. First, the search strategy used was not reported, therefore the search strategy did n...
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ورودعنوان ژورنال:
- Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
دوره 25 4 شماره
صفحات -
تاریخ انتشار 2005