A survey on oral care practices for ventilator-assisted patients in intensive care units in 3A hospitals of mainland China

2014 ◽  
Vol 21 (6) ◽  
pp. 699-708 ◽  
Author(s):  
Xing Qu ◽  
Huixu Xie ◽  
Qi Zhang ◽  
Xuedong Zhou ◽  
Zongdao Shi
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care ◽  
Mainland China ◽  
Care Practices

Survey of oral care practices in US intensive care units

2004 ◽  
Vol 32 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Catherine Binkley ◽  
L.Allen Furr ◽  
Ruth Carrico ◽  
Cynthia McCurren
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care ◽  
Care Practices

Oral care practices in intensive care units: a survey of 59 European ICUs

2007 ◽  
Vol 33 (6) ◽  
pp. 1066-1070 ◽  
Author(s):  
Jordi Rello ◽  
Despoina Koulenti ◽  
Stijn Blot ◽  
Rafael Sierra ◽  
Emili Diaz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care ◽  
Care Practices

scholarly journals Oral care practices for patients in Intensive Care Units: A pilot survey

2016 ◽  
Vol 20 (5) ◽  
pp. 267 ◽  
Author(s):  
AlexandreFranco Miranda ◽  
RenataMonteiro de Paula ◽  
CinthiaGoncalves Barbosa de Castro Piau ◽  
PriscilaPaganini Costa ◽  
AnaCristina Barreto Bezerra
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care ◽  
Pilot Survey ◽  
Care Practices

Oral Care Interventions in Critical Care: Frequency and Documentation

2003 ◽  
Vol 12 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Mary Jo Grap ◽  
Cindy L. Munro ◽  
Brooke Ashtiani ◽  
Sandra Bryant
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Medical Center ◽  
Oral Care ◽  
Flow Sheet ◽  
Staff Members ◽  
Frequency Of Use ◽  
Patient Reported ◽  
Care Practices ◽  
Oral Colonization

• Background No data have been collected to describe the products, methods, and frequency of oral care needed to reduce dental plaque, oral colonization, and ventilator-associated pneumonia in critically ill patients.• Objectives To describe the frequency of use of oral care interventions reported by nurses in several intensive care units in a large southeastern medical center.• Methods Staff members completed a written survey describing their oral care practices, and oral care interventions were recorded from the unit’s flow sheet for the previous 24 hours for all patients at 5 randomly selected times during 1 month.• Results Most respondents (75%) reported providing oral care 2 or 3 times daily for nonintubated patients, and 72% reported providing care 5 times daily or more for intubated patients. However, oral care was documented on the unit’s flow sheet a mean of 1.2 times per patient. Reported use of toothpaste and a toothbrush was significantly greater in nonintubated patients (P < .001), and use of a sponge toothette was significantly greater in intubated patients (P < .001). Nurses’ mean rating of oral care priority was 53.9 on a 100-point scale.• Conclusions Despite evidence that they are ineffective for plaque removal, sponge toothettes remain the primary tool for oral care, especially in intubated patients in intensive care units. Nurses report frequent oral care interventions, but few are documented. Education and focus on good oral care strategies are required; nursing research to delineate the best procedure for all patients in intensive care units is needed.

scholarly journals Measuring family‐centred care practices in adult intensive care units: The EMPATHIC‐F questionnaire

2021 ◽  
Author(s):  
Emilio Rodríguez‐Ruiz ◽  
Maitane Campelo‐Izquierdo ◽  
Montserrat Mansilla Rodríguez ◽  
Ana Estany‐Gestal ◽  
Andrés Blanco Hortas ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Care Practices

scholarly journals Oral care and nosocomial pneumonia: a systematic review

2015 ◽  
Vol 13 (2) ◽  
pp. 290-296 ◽  
Author(s):  
Maria Carolina Nunes Vilela ◽  
Gustavo Zanna Ferreira ◽  
Paulo Sérgio da Silva Santos ◽  
Nathalie Pepe Medeiros de Rezende
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Nosocomial Pneumonia ◽  
Oral Hygiene ◽  
Oral Care ◽  
Control Group ◽  
Level Of Evidence ◽  
Grade Of Recommendation ◽  
Minimal Bias

To perform a systematic review of the literature on the control of oral biofilms and the incidence of nosocomial pneumonia, in addition to assessing and classifying studies as to the grade of recommendation and level of evidence. The review was based on PubMed, LILACS, and Scopus databases, from January 1st, 2000 until December 31st, 2012. Studies evaluating oral hygiene care related to nosocomial infections in patients hospitalized in intensive care units were selected according to the inclusion criteria. Full published articles available in English, Spanish, or Portuguese, which approached chemical or mechanical oral hygiene techniques in preventing pneumonia, interventions performed, and their results were included. After analysis, the articles were classified according to level of evidence and grade of recommendation according to the criteria of the Oxford Centre for Evidence-Based Medicine. A total of 297 abstracts were found, 14 of which were full articles that met our criteria. Most articles included a study group with chlorhexidine users and a control group with placebo users for oral hygiene in the prevention of pneumonia. All articles were classified as B in the level of evidence, and 12 articles were classified as 2B and two articles as 2C in grade of recommendation. It was observed that the control of oral biofilm reduces the incidence of nosocomial pneumonia, but the fact that most articles had an intermediate grade of recommendation makes clear the need to conduct randomized controlled trials with minimal bias to establish future guidelines for oral hygiene in intensive care units.

Nurses’ Implementation of Guidelines for Ventilator-Associated Pneumonia From the Centers for Disease Control and Prevention

2007 ◽  
Vol 16 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Carolyn L. Cason ◽  
Tracy Tyner ◽  
Sue Saunders ◽  
Lisa Broome
Keyword(s):  
Intensive Care ◽  
Disease Control ◽  
Intensive Care Units ◽  
Oral Care ◽  
The United States ◽  
Hand Washing ◽  
Ventilator Associated Pneumonia ◽  
Care Protocol ◽  
Control And Prevention ◽  
Centers For Disease Control

• Background Ventilator-associated pneumonia accounts for 47% of infections in patients in intensive care units. Adherence to the best nursing practices recommended in the 2003 guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention should reduce the risk of ventilator-associated pneumonia. • Objective To evaluate the extent to which nurses working in intensive care units implement best practices when managing adult patients receiving mechanical ventilation. • Methods Nurses attending education seminars in the United States completed a 29-item questionnaire about the type and frequency of care provided. • Results Twelve hundred nurses completed the questionnaire. Most (82%) reported compliance with hand-washing guidelines, 75% reported wearing gloves, half reported elevating the head of the bed, a third reported performing subglottic suctioning, and half reported having an oral care protocol in their hospital. Nurses in hospitals with an oral care protocol reported better compliance with hand washing and maintaining head-of-bed elevation, were more likely to regularly provide oral care, and were more familiar with rates of ventilator-associated pneumonia and the organisms involved than were nurses working in hospitals without such protocols. • Conclusions The guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention are not consistently or uniformly implemented. Practices of nurses employed in hospitals with oral care protocols are more often congruent with the guidelines than are practices of nurses employed in hospitals without such protocols. Significant reductions in rates of ventilator-associated pneumonia may be achieved by broader implementation of oral care protocols.

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