The importance of oral hygiene in reducing the incidence of ventilator-associated pneumonia

Introduction. Healthcare-associated infections (HCAIs) represent a major public health problem. Inadequate oral hygiene in intensive care units has been recognized as a critical issue for the occurrence of one of these infections – ventilator-associated pneumonia (VAP). Although literature suggests...

Full description

Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001065115/Details
Matična publikacija: Croatian nursing journal (Online)
3 (2019), 1 ; str. 103-111
Glavni autori: Buković, Ema (Author), Kurtović, Biljana
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.24141/2/3/1/9
Croatian nursing journal (Online)
Hrčak
LEADER 04411naa a22003854i 4500
001 NSK01001065115
003 HR-ZaNSK
005 20200617144358.0
006 m d
007 cr||||||||||||
008 200602s2019 ci a |o |0|| ||eng
024 7 |2 doi  |a 10.24141/2/3/1/9 
035 |a (HR-ZaNSK)001065115 
040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng  |b eng  |b hrv 
042 |a croatica 
044 |a ci  |c hr 
080 1 |a 616  |2 2011 
080 1 |a 614  |2 2011 
100 1 |a Buković, Ema  |4 aut 
245 1 4 |a The importance of oral hygiene in reducing the incidence of ventilator-associated pneumonia  |h [Elektronička građa] :  |b a systematic review /  |c Ema Buković, Biljana Kurtović. 
300 |b Ilustr. 
504 |a Bibliografija: 19 jed. 
504 |a Abstract ; Sažetak. 
520 |a Introduction. Healthcare-associated infections (HCAIs) represent a major public health problem. Inadequate oral hygiene in intensive care units has been recognized as a critical issue for the occurrence of one of these infections – ventilator-associated pneumonia (VAP). Although literature suggests diverse oral care measures for ICU patients, the effectiveness of each is still a subject for further trials. Aim. The purpose of this paper is to determine the association between diverse oral care measures and the incidence of ventilator associated pneumonia. Methods. A systematic review of literature in the PubMed database that evaluates the performance of diverse oral care measures and their impact in reducing the incidence of VAP. The keywords used as search terms were: oral hygiene, ventilator-associated pneumonia, intensive care unit and nursing. Results. Four articles in total were taken into consideration in accordance with the availability of full-text articles and years of publication between 2009 and 2019. Performance results of diverse oral care measures haven’t shown statistically significant differences, but the implementation of oral care as a preventive measure against VAP showed a significant role in lower incidence rates. Conclusion. The results of the systematic literature review confirmed the importance of oral care in lowering the incidence rate of VAP. However, significant differences have been noted between the efficiency of diverse oral care measures and the incidence rate of VAP. 
520 |a Uvod. Infekcije povezane s bolničkom skrbi predstavljaju veliki javnozdravstveni problem. Neadekvatna oralna higijena u jedinicama intenzivnog liječenja jedan je od rizičnih čimbenika za nastanak jedne od takvih infekcija – ventilatorom uzrokovane pneumonije. Postoje različite tehnike provođenja higijene, no efikasnost svake od njih još je uvijek područje istraživanja. Cilj. Utvrditi povezanost metoda higijene usne šupljine i pojave ventilatorom uzrokovane pneumonije. Metode. Sustavni pregled literature u bazi podataka PubMed u cilju pronalaženja članaka koji evaluiraju povođenje higijene usne šupljine i njihov utjecaj na incidenciju VAP-a. Ključne riječi upotrijebljene u pretraživanju baze: oralna higijena, ventilatorom uzrokovana pneumonija, jedinica intenzivnog liječenja, sestrinstvo. Rezultati. U obradu su uzeta četiri članka prema kriterijima dostupnosti cjelovitog teksta i godinama publikacije između 2009. i 2019. Rezultati nisu pokazali statistički vidljive razlike u incidenciji VAP-a na temelju različitih metoda održavanja oralne higijene, no implementacijom oralne higijene kao sastavne preventivne mjere VAP-a vidljiv je znatan utjecaj na smanjenje incidencije. Zaključak. Rezultati sustavnog pregleda literature potvrdili su važnost provođenja higijene usne šupljine u svrhu smanjenja incidencije VAP-a. Međutim, vidljive su razlike u efikasnosti metoda provođenja higijene u pogledu njihova utjecaja na smanjenje stope VAP-a. 
653 0 |a Oralna higijena  |a Ventilatorom uzrokovana pneumonija  |a Sestrinstvo  |a Jedinica intenzivnog liječenja 
700 1 |a Kurtović, Biljana  |4 aut 
773 0 |t Croatian nursing journal (Online)  |x 2584-6531  |g 3 (2019), 1 ; str. 103-111  |w nsk.(HR-ZaNSK)000984360 
981 |b Be2019  |b B03/19 
998 |b tino2006 
856 4 0 |u https://doi.org/10.24141/2/3/1/9 
856 4 0 |u http://cnj.hr/plugins/themes/responsive/templates/issue/vol3n1/09.html  |y Croatian nursing journal (Online) 
856 4 1 |y Digitalna.nsk.hr 
856 4 0 |u https://hrcak.srce.hr/222377  |y Hrčak