Nesta Roberts
Chlorhexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates.
Roberts, Nesta; Moule, Pam
Authors
Pam Moule
Abstract
Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation after endotracheal intubation. The role of chlorhexidine and tooth-brushing has been considered as a clinical intervention to reduce infection rates, however, evidence to inform this needs appraising. This paper presents a critical review on the effect of chlorhexidine gluconate (CHX) and tooth-brushing in decreasing rates of VAP in mechanically ventilated adult patients cared for in intensive care settings. A literature search was conducted using a number of bibliographic databases (n = 6). A number of parameters were used to exclude irrelevant papers. A total n = 17 papers were located and accessed, which were directly related to the field. Eight studies that met the criteria and addressed the study aims were reviewed. CHX was successful in reducing the rate of VAP and using a combination of CHX and colistine resulted in better oropharyngeal decontamination which reduced and delayed VAP. Chlorhexidine was also effective in reducing dental plaque in patients cared for in intensive care and had the potential to reduce nosocomial infections. Results of studies investigating the use of tooth-brushing in reducing VAP incidence proved inconsistent, although all recommend tooth-brushing as important in maintaining good oral hygiene. The use of chlorhexidine has been proven to be of some value in reducing VAP, although may be more effective when used with a solution which targets gram-negative bacteria. Tooth-brushing is recommended in providing a higher standard of oral care to mechanically ventilated patients and reducing VAP when used with chlorhexidine. However, limitations in study design and inconsistency in results suggest that further research is required into the effects of tooth-brushing. © 2011 The Authors. Nursing in Critical Care © 2011 British Association of Critical Care Nurses.
Citation
Roberts, N., & Moule, P. (2011). Chlorhexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates. Nursing in Critical Care, 16(6), 295-302. https://doi.org/10.1111/j.1478-5153.2011.00465.x
Journal Article Type | Review |
---|---|
Publication Date | Jan 1, 2011 |
Deposit Date | Dec 20, 2011 |
Publicly Available Date | Dec 2, 2016 |
Journal | Nursing in critical care |
Print ISSN | 1362-1017 |
Electronic ISSN | 1478-5153 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 16 |
Issue | 6 |
Pages | 295-302 |
DOI | https://doi.org/10.1111/j.1478-5153.2011.00465.x |
Keywords | chlorhexidine, colisistine, intensive care unit, mechanically ventilated, ventilator-associated pneumonia |
Public URL | https://uwe-repository.worktribe.com/output/958131 |
Publisher URL | http://dx.doi.org/10.1111/j.1478-5153.2011.00465.x |
Additional Information | Additional Information : The definitive version is available at www.blackwell-synergy.com Corporate Creators : Nesta Roberts |
Files
Download.pdf
(203 Kb)
PDF
Dissertation Publication final v2.doc
(132 Kb)
Document
You might also like
Addressing “Wicked Problems”: Promoting the supply of innovations into complex healthcare networks
(2018)
Presentation / Conference
Evaluation and its importance for nursing practice
(2017)
Journal Article
Practical guidance on undertaking a service evaluation
(2016)
Journal Article
Downloadable Citations
About UWE Bristol Research Repository
Administrator e-mail: repository@uwe.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search