Oral Care Interventions to Prevent Ventilator-Associated Pneumonia in Mechanically-Ventilated Adults
Type of Submission
Poster
Keywords
Oral care, ventilator-associated pneumonia, toothbrushing, chlorhexidine, hydrogen peroxide
Abstract
Background: Ventilator-associated pneumonia is a common and costly problem in acute care settings. Each case has an increased chance for mortality and may result in further complications.
Purpose: To review relevant literature about the methods of providing oral care for ventilated patients to prevent the incidence of VAP in acute care settings.
Methods: Literature published between 2008 and 2013 was reviewed using PUBMED, MEDLINE, CINAHL, Cochrane, and Up To Date using the key words “oral care,” “ventilator- associated pneumonia,” “toothbrushing,” “VAP,” “oral hygiene,” “hydrogen peroxide,” and “pneumonia.”
Setting: Mechanically ventilated adult patients in acute care settings.
Sample Size: The literature review was conducted on five meta-analyses, four randomized control trials, one cohort study, and one non-randomized control trial.
Findings: This literature review found that research supports the use of chlorhexidine in acute healthcare settings in the prevention of VAP.
Conclusions: Reduction in the incidence of VAP occurred with Chlorhexidine use added to patient oral care but more research is needed in the area of prophylactic oral care.
Clinical Relevance: The findings provide direction for future research done on the subject, and support the recommendation of the use of chlorhexidine in oral care for mechanically ventilated patients.
Faculty Sponsor or Advisor’s Name
Dr. Carrie Keib
Campus Venue
Stevens Student Center
Location
Cedarville, OH
Start Date
4-16-2014 11:00 AM
End Date
4-16-2014 2:00 PM
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Oral Care Interventions to Prevent Ventilator-Associated Pneumonia in Mechanically-Ventilated Adults
Cedarville, OH
Background: Ventilator-associated pneumonia is a common and costly problem in acute care settings. Each case has an increased chance for mortality and may result in further complications.
Purpose: To review relevant literature about the methods of providing oral care for ventilated patients to prevent the incidence of VAP in acute care settings.
Methods: Literature published between 2008 and 2013 was reviewed using PUBMED, MEDLINE, CINAHL, Cochrane, and Up To Date using the key words “oral care,” “ventilator- associated pneumonia,” “toothbrushing,” “VAP,” “oral hygiene,” “hydrogen peroxide,” and “pneumonia.”
Setting: Mechanically ventilated adult patients in acute care settings.
Sample Size: The literature review was conducted on five meta-analyses, four randomized control trials, one cohort study, and one non-randomized control trial.
Findings: This literature review found that research supports the use of chlorhexidine in acute healthcare settings in the prevention of VAP.
Conclusions: Reduction in the incidence of VAP occurred with Chlorhexidine use added to patient oral care but more research is needed in the area of prophylactic oral care.
Clinical Relevance: The findings provide direction for future research done on the subject, and support the recommendation of the use of chlorhexidine in oral care for mechanically ventilated patients.