A Systematic Oral Care Program in Post-Mechanically Ventilated, Post-Intensive Care Patients

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Hdl Handle:
http://hdl.handle.net/10755/304040
Category:
Abstract
Type:
Presentation
Title:
A Systematic Oral Care Program in Post-Mechanically Ventilated, Post-Intensive Care Patients
Author(s):
Chipps, Esther M.; Landers, Timothy; Carr, Michele P
Lead Author STTI Affiliation:
Epsilon
Author Details:
Esther M. Chipps, PhD, RN, esther.chipps@osumc.edu; Timothy Landers, n/a; Michele P Carr, RDH, MA;
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose: Patients who have been recently extubated are at an increased risk for poor oral health, bacterial colonization, and aspiration pneumonia. The aim of this study is to determine the impact of a standardized, evidence-based oral care protocol on 1). overall oral cavity health and  2). Methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) colonization in post-mechanically ventilated patients, and 3). the acquisition of hospital acquired infections (HAIs).

Methods:

This is a randomized control study (n=60).  Subjects have required mechanical ventilation for at least 48 hours, meet ventilator liberation criteria and have a minimum of 3 teeth. The study is initiated within 24 hours post-extubation. The oral hygiene intervention includes timed toothbrushing, flossing, mouthrinse, tongue brushing and lip balm is provided over 4 days. The control group receives routine oral care as provided by the nursing staff.  Specific outcome measures include: (1) assessment of the oral cavity using the Revised-THROAT assessment (2) results of microbiological swabs to detect colonization of MSSA/MRSA (3) frequency and incidence of infections, (4) patient satisfaction with the oral care products and oral hygiene program and (5) assessment of patient quality of life.  A repeated measure ANOVA will be used to detect changes in the oral cavity assessment.  Descriptive statistics will be used to report changes in MSSA/MRSA colonization, AHIs, quality of life and patient satisfaction.

Results:

We have enrolled 29 of 60 subjects.  An interim analysis is currently in progress and will be presented.

Conclusion:

A growing body of nursing literature has addressed the association between oral care and the prevention of VAP in the intensive care unit. In contrast, little attention has been paid to oral care of patients liberated from mechanical ventilation. We hope to develop a validated evidence-based protocol for oral care in post-mechanically ventilated, post ICU patients.

Keywords:
Infection; Critical illness; Oral Care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Systematic Oral Care Program in Post-Mechanically Ventilated, Post-Intensive Care Patientsen_GB
dc.contributor.authorChipps, Esther M.en_GB
dc.contributor.authorLanders, Timothyen_GB
dc.contributor.authorCarr, Michele Pen_GB
dc.contributor.departmentEpsilonen_GB
dc.author.detailsEsther M. Chipps, PhD, RN, esther.chipps@osumc.edu; Timothy Landers, n/a; Michele P Carr, RDH, MA;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304040-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b>Patients who have been recently extubated are at an increased risk for poor oral health, bacterial colonization, and aspiration pneumonia. The aim of this study is to determine the impact of a standardized, evidence-based oral care protocol on 1). overall oral cavity health and  2). Methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) colonization in post-mechanically ventilated patients, and 3). the acquisition of hospital acquired infections (HAIs). <p><b>Methods: </b> <p>This is a randomized control study (n=60).  Subjects have required mechanical ventilation for at least 48 hours, meet ventilator liberation criteria and have a minimum of 3 teeth. The study is initiated within 24 hours post-extubation. The oral hygiene intervention includes timed toothbrushing, flossing, mouthrinse, tongue brushing and lip balm is provided over 4 days. The control group receives routine oral care as provided by the nursing staff.  Specific outcome measures include: (1) assessment of the oral cavity using the Revised-THROAT assessment (2) results of microbiological swabs to detect colonization of MSSA/MRSA<i> </i>(3) frequency and incidence of infections, (4) patient satisfaction with the oral care products and oral hygiene program and (5) assessment of patient quality of life.  A repeated measure ANOVA will be used to detect changes in the oral cavity assessment.  Descriptive statistics will be used to report changes in MSSA/MRSA colonization, AHIs, quality of life and patient satisfaction. <p><b>Results: </b> <p>We have enrolled 29 of 60 subjects.  An interim analysis is currently in progress and will be presented. <p><b>Conclusion: </b> <p>A growing body of nursing literature has addressed the association between oral care and the prevention of VAP in the intensive care unit. In contrast, little attention has been paid to oral care of patients liberated from mechanical ventilation. We hope to develop a validated evidence-based protocol for oral care in post-mechanically ventilated, post ICU patients.<b></b>en_GB
dc.subjectInfectionen_GB
dc.subjectCritical illnessen_GB
dc.subjectOral Careen_GB
dc.date.available2013-10-22T20:28:05Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:28:05Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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