Mouth Injuries in Hospitalized Patients of an Intensive Care Unit
DOI:
https://doi.org/10.33448/rsd-v9i8.5945Keywords:
Intensive care unit; Oral lesions; Hospital; Prevention; Oral hygiene.Abstract
Oral health conditions of patients in intensive care units (ICU) is often very precarious. This study was conducted in the ICU to identify oral changes of this population. Material and Methods this was an exploratory, descriptive and cross-sectional study. The data collected included age, gender, oral hygiene condition, reasons for hospitalization, oral changes and management. Two trained dentists performed the clinical oral examinations using wooden spatulas and sterile gauze. 104 patients between 19 and 92 years of age (56.82 ± 18.23 years) were analyzed, comprising 26 women and 78 men. Most of the patients presented good hygiene. The most common reason for admission was traumatic severe brain injury. Fifty-nine patients (56.7%) had at least one oral lesion. Most frequent lesions were lip dryness (26.3%), traumatic ulcers (TU) (20.0%) and tongue coating (20.0%). According to our results, traumatic ulcers represent a challenge for physicians, the participation of a dentist and a dental hygienist would help to manage and prevent infections of these lesions, making a truly interdisciplinary team essential for the quick recovery of ICU patients.
References
Araújo, R. J., Oliveira, L. C., Hanna, L. M., Corrêa, A. M., Carvalho, L. H., & Alvares, N. C. (2009). Perceptions and actions of oral care performed by nursing teams in intensive care units. Análise de percepções e ações de cuidados bucais realizados por equipes de enfermagem em unidades de tratamento intensivo. Revista Brasileira de terapia intensiva, 21(1), 38–44.
Carrilho Neto, A., De Paula Ramos, S., Sant'ana, A. C., & Passanezi, E. (2011). Oral health status among hospitalized patients. International journal of dental hygiene, 9(1), 21–29. https://doi.org/10.1111/j.1601-5037.2009.00423.x
Cruz, M. K., Morais, T. M., & Trevisani, D. M. (2014). Clinical assessment of the oral cavity of patients hospitalized in an intensive care unit of an emergency hospital. Revista Brasileira de terapia intensiva, 26(4), 379–383. https://doi.org/10.5935/0103-507X.20140058
Silva, E. A., Silva A. B. S., Machado I. F, Irmão Bisneto J. S.L., dos Santos, I. I. S., & Cota, A. L. S. (2020). A importância da atuação do cirurgião dentista na unidade de terapia intensiva: revisão integrativa. Research, Society and Development, 9 (6), e164962011. http://dx.doi.org/10.33448/rsd-v9i6.2011 1
Farsi, N. M. (2007). Signs of oral dryness in relation to salivary flow rate, pH, buffering capacity and dry mouth complaints. BMC oral health, 7, 15. https://doi.org/10.1186/1472-6831-7-15
Gemaque, K., Giacomelli Nascimento, G., Cintra Junqueira, J. L., Cavalcanti de Araújo, V., & Furuse, C. (2014). Prevalence of oral lesions in hospitalized patients with infectious diseases in northern Brazil. The Scientific World Journal, 2014, 586075. https://doi.org/10.1155/2014/586075
Halm, M. A., & Armola, R. (2009). Effect of oral care on bacterial colonization and ventilator-associated pneumonia. American journal of critical care: an official publication, American Association of Critical-Care Nurses, 18(3), 275–278. https://doi.org/10.4037/ajcc2009842
Kahn, S., Garcia, C. H., Galan Júnior, J., Namen, F. M., Machado, W. A., da Silva Júnior, J. A., Sardenberg, E. M., & Egreja, A. M. (2008). Avaliação da existência de controle de infecção oral nos pacientes internados em hospitais do estado do Rio de Janeiro [Evaluating the existence of oral infection control in patients admitted in state hospitals in Rio de Janeiro]. Ciencia & saude coletiva, 13(6), 1825–1831. https://doi.org/10.1590/s1413-81232008000600017
Kramer, I. R., Pindborg, J. J., Bezroukov, V., & Infirri, J. S. (1980). Guide to epidemiology and diagnosis of oral mucosal diseases and conditions. World Health Organization. Community dentistry and oral epidemiology, 8(1), 1–26. https://doi.org/10.1111/j.1600-0528.1980.tb01249.x
Galhardo, L. F., Ruivo, G. F., Santos, F. O., Ferreira, T. T., Santos, J., Leão, M. V., & Pallos, D. (2020). Impact of Oral Care and Antisepsis on the Prevalence of Ventilator-Associated Pneumonia. Oral health & preventive dentistry, 18(2), 331–336. https://doi.org/10.3290/j.ohpd.a44443
Li, X., Kolltveit, K. M., Tronstad, L., & Olsen, I. (2000). Systemic diseases caused by oral infection. Clinical microbiology reviews, 13(4), 547–558. https://doi.org/10.1128/cmr.13.4.547-558.2000
Longman, L. P., McCracken, C. F., Higham, S. M., & Field, E. A. (2000). The clinical assessment of oral dryness is a significant predictor of salivary gland hypofunction. Oral diseases, 6(6), 366–370. https://doi.org/10.1111/j.1601-0825.2000.tb00128.x
Matsuo, K., Watanabe, R., Kanamori, D., Nakagawa, K., Fujii, W., Urasaki, Y., Murai, M., Mori, N., & Higashiguchi, T. (2016). Associations between oral complications and days to death in palliative care patients. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 24(1), 157–161. https://doi.org/10.1007/s00520-015-2759-9
Morais, T. M., Silva, A. d., Avi, A. L., Souza, P. H., Knobel, E., & Camargo, L. F. (2006). A importância da atuação odontológica em pacientes internados em unidade de terapia intensiva [Importance of dental work in patients under intensive care unit]. Revista Brasileira de terapia intensiva, 18(4), 412–417.
Mori, H., Hirasawa, H., Oda, S., Shiga, H., Matsuda, K., & Nakamura, M. (2006). Oral care reduces incidence of ventilator-associated pneumonia in ICU populations. Intensive care medicine, 32(2), 230–236. https://doi.org/10.1007/s00134-005-0014-4
Pineda, L. A., Saliba, R. G., & El Solh, A. A. (2006). Effect of oral decontamination with chlorhexidine on the incidence of nosocomial pneumonia: a meta-analysis. Critical care (London, England), 10(1), R35. https://doi.org/10.1186/cc4837
Pires, J.R., Matareli, S., Ferreira, R.G., Corrêa de Toledo, B.E., & Zuza, E.P. (2011) Candida species and oral conditions in patients admitted to intensive care units. Revista da Associação Paulista de Cirurgião Dentista. 65:332-7.
Pizzo, G., Guiglia, R., Lo Russo, L., & Campisi, G. (2010). Dentistry and internal medicine: from the focal infection theory to the periodontal medicine concept. European journal of internal medicine, 21(6), 496–502. https://doi.org/10.1016/j.ejim.2010.07.011
Purwanegara, M. K., Wulandari, N. N.S., & Purbiati, M. (2018). Effect of Various Motivation Methods on Oral Hygiene Index Scores of Fixed Orthodontic Patients. Journal of International Dental and Medical Research; 11(2), 390-397.
Santos, P. S., Mello, W. R., Wakim, R. C., & Paschoal, M. Â. (2008). Use of oral rinse with enzymatic system in patients totally dependent in the intensive care unit. Uso de solução bucal com sistema enzimático em pacientes totalmente dependentes de cuidados em unidade de terapia intensiva. Revista Brasileira de terapia intensiva, 20(2), 154–159.
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Copyright (c) 2020 Luciana Galhardo, Paulo Henrique Braz-Silva, Debora Pallos, Fabiana Martins e Martins, Richardson Mondêgo Boaventura, Yeon Jung Kim, Wilson Roberto Sendyk, Fernanda Oliveira dos Santos, Tamires de Fatima Ferreira, Gilson Fernandes Ruivo
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