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Intensive Care Medicine

Published in:

01-02-2006 | Original

Oral Care Reduces Incidence of Ventilator-Associated Pneumonia in ICU Populations

Authors: Hideo Mori, Hiroyuki Hirasawa, Shigeto Oda, Hidetoshi Shiga, Kenichi Matsuda, Masataka Nakamura

Published in: Intensive Care Medicine | Issue 2/2006

Abstract

Objective

To examine whether oral care contributes to preventing ventilator-associated pneumonia (VAP) in ICU patients.

Design

Nonrandomized trial with historical controls.

Setting

A medical-surgical ICU in a university hospital.

Patients

1,666 mechanically ventilated patients admitted to the ICU.

Intervention

Oral care was provided to 1,252 patients who were admitted to the ICU during period between January 1997 and December 2002 (oral care group), while 414 patients who were admitted to the ICU during period between January1995 and December 1996 and who did not receive oral care served as historical controls (non-oral care group).

Measurements and results

Incidence of VAP(episodes of pneumonia per 1000 ventilator days) in the oral care group was significantly lower than that in the non-oral care group (3.9 vs 10.4). The relative risk of VAP in the oral care group compared to that in the non-oral care group was 0.37, with an attributable risk of −3.96%. Furthermore, length of stay in ICU before onset of VAP was greater in the oral care than in the non-oral care group (8.5 ± 4.6 vs 6.3 ± 7.5 days). However, no significant difference was observed in either duration of mechanical ventilation or length of stay between the groups (5.9 ± 10.8 vs 6.0 ± 8.8 days and 7.5 ± 11.5 vs 7.2 ± 9.5 days, respectively). Pseudomonoas aeruginosa was the most frequently detected bacteria in both groups. Number of potentially pathogenic bacteria in oral cavity was significantly reduced by single oral care procedure.

Conclusion

Oral care decreased the incidence of VAP in ICU patients.

Descriptor

Pulmonary nosocomial infection

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Title: Oral Care Reduces Incidence of Ventilator-Associated Pneumonia in ICU Populations
Authors: Hideo Mori
Hiroyuki Hirasawa
Shigeto Oda
Hidetoshi Shiga
Kenichi Matsuda
Masataka Nakamura
Publication date: 01-02-2006
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 2/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-005-0014-4

At a glance: The STEP trials

Springer Medicine

Oral Care Reduces Incidence of Ventilator-Associated Pneumonia in ICU Populations

Abstract

Objective

Design

Setting

Patients

Intervention

Measurements and results

Conclusion

Descriptor

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Design

Setting

Patients

Intervention

Measurements and results

Conclusion

Descriptor

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