Nurses' practices and obstacles to oral care quality in intensive care units in Upper Egypt

2021 ◽  
Author(s):  
Amal Ismael Abdelhafez ◽  
Asmaa Atiaa Tolba
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care ◽  
Care Quality ◽  
Upper Egypt

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.

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

scholarly journals The Impact of Systematic Oral Care on Oral Health Status in Patients of Intensive Care Units

2018 ◽  
Vol 20 (3) ◽  
pp. 244-251
Author(s):  
Vajihe Atashi ◽  
Ahmadreza Yazdannik ◽  
Hosein Mahjobipoor ◽  
Hojjatollah Yousefi ◽  
Reza Bekhradi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Health Status ◽  
Oral Health ◽  
Intensive Care Units ◽  
Oral Care ◽  
Oral Health Status ◽  
The Impact

scholarly journals A survey of chlorhexidine oral care in scottish intensive care units

2015 ◽  
Vol 3 (S1) ◽  
Author(s):  
J Small ◽  
R Campbell ◽  
L Paton ◽  
A Mackay
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oral Care

Ventilator-associated Pneumonia Improvement Program

2007 ◽  
Vol 18 (2) ◽  
pp. 190-199
Author(s):  
Theresa Murray ◽  
Caryl Goodyear-Bruch
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Care Delivery ◽  
Oral Care ◽  
Patient Positioning ◽  
Clinical Problem ◽  
Cost Of Care ◽  
Hospital Length Of Stay ◽  
Ventilator Associated Pneumonia ◽  
Improvement Program

Ventilator-associated pneumonia (VAP) is a significant clinical problem associated with increased intensive care unit and hospital length of stay and substantial increases in delivery cost and associated morbidity and mortality. With system changes and management of the environment of care, the incidence of VAP was reduced in seven of our intensive care units across the system. Steps necessary to reduce VAP were identified and put into place in all the intensive care units. Patient positioning, oral care, nutrition, and management of comfort drugs are a few of the processes addressed to reduce VAP. Standardization of these essential care practices can reduce the incidence of this nosocomial infection and its associated increases in the cost of care delivery and mortality.

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
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