Outcomes of an Oral Care Protocol in Postmechanically Ventilated Patients

Worldviews on Evidence-based Nursing
Esther M ChippsTimothy Landers

Abstract

Oral care is standard practice to prevent hospital-associated infections while patients are intubated and in the intensive care unit. Following extubation and transfer, infections remain an important risk for patients, but less attention is paid to oral care. Few studies have assessed the impact of oral care in recently extubated acutely ill patients. To develop an evidence-based oral care protocol for hospitalized patients and determine the impact of this protocol on health outcomes in recently extubated patients. In this randomized controlled trial, subjects were randomized to usual care or an intervention protocol that included tooth brushing, tongue scraping, flossing, mouth rinsing, and lip care. Major outcome measures were the revised THROAT (R-THROAT; oral cavity assessment) and overall prevalence of methicillin-sensitive Staphylococcus aureus and methicillin-resistant S. aureus on oral cultures. Seventy-four subjects were randomized. As measured by the R-THROAT, oral cavity health improved over time in both groups, but the intervention group demonstrated significantly more improvement than the control group (R-THROAT score improved by 1.97 intervention vs. 0.87 control; p = .04). Two categories, tongue and mouth comfort...Continue Reading

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Citations

Jun 29, 2016·International Journal of Nursing Practice·Chun Sun Jang, Yong Soon Shin
Mar 30, 2017·Nursing Management·Esther ChippsBrenda Vermillion
Dec 1, 2017·Implementation Science : IS·Jacqueline F LavalléeNicky Cullum
Feb 23, 2019·Journal of Clinical Nursing·Kimberly Paige Emery, Frank Guido-Sanz
Aug 9, 2019·Worldviews on Evidence-based Nursing·Esther ChippsBernadette Mazurek Melnyk
Oct 12, 2018·International Journal of Environmental Research and Public Health·Mei-Yen Chen
Dec 22, 2019·International Journal of Nursing Studies·Matteo DanielisAnne Lucia Leona Destrebecq

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