Toothbrushing in intensive care: Does it reduce the risk of ventilator-associated pneumonia?

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This review of whether toothbrushing-based oral health measures, performed in intensive care units, can reduce the risk of ventilator-associated pneumonia (VAP) included 12 RCTs with the findings suggesting a positive effect.

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Oral care for critically ill ventilated patients

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38 RCTs were included in this Cochrane review update of oral health care in ventilated patients. High quality evidence was found to show that chlorhexidine mouthwash or gel reduces the risk of developing ventilator-associated pneumonia in critically ill patients from 25% to about 19%.

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Oral care with antiseptics reduced ventilator associated pneumonia

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17 RCTs were included in this review of oral care to reduce ventilator associated pneumonia (VAP). Evidence suggests it can reduce prevalence but not ICU mortality, length of ICU stay or duration of mechanical ventilation.

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Review finds that oral care that included chlorhexidine use reduced ventilator associated pneumonia

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We have previously looked at a review and a number of studies addressing the issue of oral hygiene and ventilator-associated pneumonia (VAP) and (Dental Elf May 20th 2013). A new Cochrane review has just been published which aimed to assess the effects of oral hygiene care (OHC) on the incidence of VAP in critically ill [read the full story…]

Review finds that toothbrushing has only a small effect on ventilator-associated pneumonia

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Ventilator-associated pneumonia (VAP) is a life-threatening condition in critically ill patients receiving mechanical ventilation. Incidence rates vary between 9% and 45% and it carries a significant mortality risk. The oropharynx and upper gastrointestinal tract are the main reservoirs for the associated pathogens.  The aim of this review was to evaluate the effects of oral care [read the full story…]

Oral swabbing with chlorhexidine reduced risk of ventilator-associated pneumonia

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Ventilator-associated pneumonia (VAP) can be life threatening and its link with good mouth care is a topic we have covered before on Dental Elf (18th April 2012 and  28th Nov 2011). The aim of this study was to evaluate whether oral swabbing with 0.2% chlorhexidine gluconate (CHX) decreases the risk of ventilator-associated pneumonia (VAP) in [read the full story…]