Acting of dental surgeon in Intensive Care Centers with patients under mechanical ventilation
DOI:
https://doi.org/10.33448/rsd-v10i12.20719Keywords:
Mechanical ventilation; Nosocomial pneumonia; Intensive care unit; Oral hygiene; Dental Surgeon.Abstract
Ventilator-associated pneumonia (VAP) is a common infection in critically ill patients in hospital environment. VAP can appear within 48-72 hours after orotracheal intubation and is associated with a higher mortality rate. Objective of this article is to evaluate the importance of the dentist's role in the multidisciplinary team of Intensive Care Units in patients undergoing mechanical ventilation and oral hygiene protocols instituted for these individuals. This is an integrative literature review, and articles from last 10 years, related to the subject were searched in the PubMed, LILACS, Scielo and Google Schoolar data bases with the keywords: "mechanical ventilation", "nosocomial pneumonia", "intensive care unit", "oral hygiene" and "dentist-surgeon". Fourteen articles were selected from the searches and with the application of inclusion and exclusion criteria. Oral health is usually impaired after admission to the ICU, and accumulation of dental biofilm may cause serious infections such as nosocomial pneumonia, especially in patients undergoing mechanical ventilation. It can be seen from the above that the presence of dental surgeon is necessary in hospital environment, to perform the proper oral care in these patients who are intubated in ICU, since the proper oral hygiene can reduce length of stay, besides reducing incidence of respiratory infections.
References
Alotaibi, A. K., Alshayiqi, M., & Ramalingam, S. (2014). Does the presence of oral care guidelines affect oral care delivery by intensive care unit nurses? A survey of Saudi intensive care unit nurses. Am J Infect Control, 42(8):921-2. 10.1016/j.ajic.2014.05.019.
Aranega, A. M., Bassi, A. P. F., Ponzoni, D., Wayama, M. T., Esteves, J. C., & Júnior, I. R. G. (2012). Qual a importância da Odontologia Hospitalar? Rev. Bras. Odontol, p. 90-93.
Araújo, R. J. G., Oliveira, L, C, G., Hanna, L, M, O., Corrêa, A, M., Carvalho, H, V., & Alvares, C.F. (2009). Análise de percepções e ações de cuidados bucais realizados por equipes de enfermagem em unidades de tratamento intensivo. Rev. Bras. Ter. Intensiva, p. 27-27.
Bellissimo‐Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., de Souza, H. C. C., Auxiliadora‐Martins, M., Basile‐Filho, A. & Bellissimo‐Rodrigues, F. (2018). É necessário ter dentista na equipe de unidade de terapia intensiva? Relatório de um ensaio clínico randomizado. International Dental Journal, 68 (6), 420-427. 10.1111./idj.12397.
Chacko, R., Rajan, A., Lionel, P., Thilagavathi, M., Yadav, B., & Premkumar, J. (2017). Oral decontamination techniques and ventilator-associated pneumonia. Br J Nurs, 8; 26(11):594-599. 10.12968/bjon.2017.26.11.594.
Conley, P., McKinsey, D., Graff, J., & Ramsey, A. R. (2013). Does an oral care protocol reduce VAP in patients with a tracheostomy? Nursing, 43(7):18-23. 10.1097/01.
Coppadoro, A., Bittner, E., & Berra, L. (2012). Novel preventivestrategies for ventilator associated pneumonia. Critical Carer, 12;16(2):210. 10.1186/cc11225.
Costa, D. C., Saldanha, K. F. D., Sousa, A. S., Gaetti, & Jardim, E. C. (2016). Perfil de saúde bucal dos pacientes internados no hospital universitário Maria Aparecida Pedrossian, Campo Grande (MS). Arch Health Invest, 5(2):70-77
Cutler L. R., & Sluman, P. (2014). Reducing ventilator associated pneumonia in adult patients through high standards of oral care: a historical control study. Intensive Crit Care Nurs, 30(2):61-8. 10.1016/j.iccn.2013.08.005.
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.
Franco, J. B., Jales, S. M. C., Zambon, C. E., Fujarra, F. J. C., Guardieiro, P. F. R., Matias, D. T., & Peres, M. P. S. M. (2014). Higiene bucal para pacientes entubados sob ventilação mecânica assistida na unidade de terapia intensiva: proposta de protocolo. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, p. 126-131.
Galhardo, L. F., Ruivo, G. F., Santos, F. O., Ferreira, T. T., Santos, J. L., Eão, M. V., & Pallos, D. (2020). Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia. Oral Health Prev Dent, 18(1):331-336. 10.3290/j.ohpd.a44443.
Liao, Y. M., Tsai, J. R., & Chou, F. H. (2015). The effectiveness of an oral health care program for preventing ventilator-associated pneumonia. Nurs Crit Care, 20(2):89-97. 10.1111/nicc.12037.
Lima, D. C., Saliba, N. A., Garbin, A. J. I., & Fernandes, L. A. (2011). A importância da saúde bucal na ótica de pacientes hospitalizados. Ciênc. saúde coletiva, doi.org/10.1590/S1413-81232011000700049
Macedo, M. M., Abreu-Pereira, C. A., Corrêa, N. C., Pinho, J. R. O., & Casanovas, R. C. (2020). Perfil bucal de pacientes internados em uti adulto. Rev. Rede cuid. saúde.
Nasiriani, K., Torki, F., Jarahzadeh, M. H., & Rashidi, Maybodi, F. (2016). The Effect of Brushing with a Soft Toothbrush and Distilled Water on the Incidence of Ventilator-Associated Pneumonia in the Intensive Care Unit. Tanaffos, 15(2):101-107.
Ory, J., Raybaud, E., Chabanne, R., Cosserant, B., Faure, J. S., Guérin, R., Calvet, L., Pereira, B., Mourgues, C., Guelon, D., & Traore, O. (2017). Comparative study of 2 oral care protocols in intensive care units. Am J Infect Control, 1; 45(3):245-250. 10.1016/j.ajic.2016.09.006.
Özçaka, Ö., Başoğlu, O.K., Buduneli, N., Taşbakan, M.S., Bacakoğlu, F., & Kinane, D.F., (2012). Chlorhexidine decreases the risk of ventilator-associated pneumonia in intensive care unit patients: a randomized clinical trial. J Periodontal Res, 47(5):584-92. 10.1111/j.1600-0765.2012.01470.x.
Quadros, C. T. P. de., Silva, M. C. V. da., Carvalho, M. F. de ., Silva, M. Évelyn dos S., Meireles, I. B., Silva, C. R. L. da ., & Marta, C. B. 2020). Importância dos cuidados de higiene oral realizados em pacientes intubados no centro de terapia intensiva. Saúde Coletiva (Barueri), 9(51), 1933–1938.
Silva, M. E., Resende, V. L., Abreu, M. H., Dayrell, A. V., Valle, D. A., & de Castilho, L.I. (2015). Oral hygiene protocols in intensive care units in a large Brazilian city. Am J Infect Control, 1; 43(3):303-4. 10.1016/j.ajic.2014.11.027.
Takahama, A Jr., de Sousa, V. I., Tanaka, E. E., Ono, E., Ito, F. A. N., Costa, P. P, Pedriali, M. B. B. P., de Lima, H. G., Fornazieri, M. A., Correia, L. S., Cardoso, L. T. Q., & de Maio Carrilho, C.M.D. (2021). Analysis of oral risk factors for ventilator-associated pneumonia in critically ill patients. Clin Oral Investig, 25(3):1217-1222. 10.1007/s00784-020-03426-x.
Teixeira, K. C. F., Santos, L. M., & Azambuja, F.G. (2019). Análise da eficácia da higiene oral de pacientes internados em unidade de terapia intensiva em um hospital de alta complexidade do sul do Brasil. Rev. Odontol. Univ. Cid. São Paulo. 31(2): 134-44.
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Copyright (c) 2021 Marielle da Silva Oliveira; Daniella Cristina Borges; Ivânia Aparecida Pimenta Santos Silva; Leonardo Bíscaro Pereira; Rodrigo Soares de Andrade
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