1. Removal of Chlorhexidine for Ventilator-Associated Pneumonia Prevention with a Dentist Composing the Intensive Care Unit Team
- Author
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Pains,Marcos, Vieira,Isabel, Figueiredo,Arthur, Diniz,Suzaynne, Figueiredo,Paulo, Pains,Marcos, Vieira,Isabel, Figueiredo,Arthur, Diniz,Suzaynne, and Figueiredo,Paulo
- Abstract
Marcos Barbosa Pains,1â 3 Isabel Verlangeiro Vieira,4 Arthur Rollemberg Cruciol Figueiredo,4 Suzaynne Corrêa Bittencourt Diniz,3 Paulo Tadeu Souza Figueiredo4 1School of Public Health of the Federal District, Foundation for Teaching and Research in Health Sciences, BrasÃlia, Distrito Federal, Brazil; 2Faculty of Health Sciences, University of BrasÃlia, BrasÃlia, Distrito Federal, Brazil; 3Health Department of the Federal District, Government of the Federal District, BrasÃlia, Distrito Federal, Brazil; 4Dentistry Department, University of BrasÃlia, BrasÃlia, Distrito Federal, BrazilCorrespondence: Marcos Barbosa Pains, Email marcospains@yahoo.com.brPurpose: An association between the use of chlorhexidine in mechanically ventilated patients for the purpose of oral hygiene and the prevention of ventilator-associated pneumonia (VAP) lacks conclusive evidence in the literature. Therefore, this study aims to assess the clinical impact of such practice. This evaluation will consider that retention factors, infection foci, and oral biofilm will be regularly removed by a dentist.Patients and Methods: In this retrospective cohort study, a comparison was made between two groups, one using chlorhexidine and the other using saline solution. Patients from both groups included in this study were admitted between January 2016 to March 2018. Data such as the incidence of VAP, duration of mechanical ventilation (DMV), length of stay (LOS), and mortality rate (MR) were collected and compared between the groups. Only patients aged 18 or older, under mechanical ventilation for more than 48 consecutive hours were included. Were excluded from this study patients with a diagnosis of VAP or other pulmonary infection upon admission or within the first 48 hours of hospitalization. Also not included were those who stayed in the ICU for less than 48 hours. Dental treatment was carried out addressing the regular removal of retention factors, potential oral infection foci, and oral bio
- Published
- 2024