Preventing Healthcare- Associated Pneumonia (HAP) in Head Trauma Patients using Toothbrush Kits for Oral Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308551
Category:
Abstract
Type:
Presentation
Title:
Preventing Healthcare- Associated Pneumonia (HAP) in Head Trauma Patients using Toothbrush Kits for Oral Care
Author(s):
Messmer, Patricia R.; Hue, Nguyen Thi Ngoc
Lead Author STTI Affiliation:
Beta Tau
Author Details:
Patricia R. Messmer, PhD, RN-BC, FAAN, messmerpatricia@yahoo.com; Nguyen Thi Ngoc Hue, MSc
Abstract:

Session presented on: Saturday, November 16, 2013

Background: Healthcare-Associated Pneumonia (HAP) is a preventable secondary consequence of intubation and mechanical ventilation, common infection in Neuro ICUs (Fox, 2006; Cutler & Davis, 2005; Grap & Munro, 2004). Etiologic factors involve colonizing and opportunistic bacteria from the oral cavity.

Research question: What is the incidence of HAI and VAP between two groups of head trauma patients with ETT receiving two different types of oral care (Comparison of toothbrush oral care practice to swab cleansing every 12 hours in reducing HAP risk).

Theoretical Framework Pender (2002) Health Promotion Model

Methods: Randomized controlled trial (RCT) was designed to determine the effects of oral care and HAP outcomes in Neuro ICU  patients with ETT or on mechanical ventilator over 6 months. Sample: 310 patients; 155 per group randomly selected for either cleansing swabs or toothbrush oral care practices and given investigator form, assessment of HAP (CDC). Data collected: encoded/analysis by SPSS 13.0.

Results: Mean age- 38; gender- 83% males, 17% females.  HAP incidence is 5.8% in general population, 9% patients cleansing swab group and 2.6% patients tooth brush oral care group; differences statistically significant (P = 0.015) by cleansing swab group and 2.6% patients in tooth brush group. Differences statistically significant (P = 0.015).

Multivariable logistic regression of HAP risk factors showed that re- intubation (OR:1.95; 95% CI: 1.68 – 4.32), ventilator (OR:3.64; 95%CI:2.62- 8.04), re-feeding tube (OR:17.44; 95% CI: 2.67 – 114.05). Differences were statistically significant (P < 0.05). Oral care by tooth brush was more effective than swabs in plaque removal and gingival stimulation, reducing incidence of HAP.

Conclusions: Oral care using tooth brushes is essential to prevent oral problems and HAP complications for Neuro ICU patients.  Maintaining oral care process of intubated patients improves oral health, reduces HAP, hospitalization time and healthcare costs while improving the quality of care.

Keywords:
Healthcare-Associated Pneumonia (HAP; Oral care (toothbrush versus swab cleanser)
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePreventing Healthcare- Associated Pneumonia (HAP) in Head Trauma Patients using Toothbrush Kits for Oral Careen_GB
dc.contributor.authorMessmer, Patricia R.en_GB
dc.contributor.authorHue, Nguyen Thi Ngocen_GB
dc.contributor.departmentBeta Tauen_GB
dc.author.detailsPatricia R. Messmer, PhD, RN-BC, FAAN, messmerpatricia@yahoo.com; Nguyen Thi Ngoc Hue, MScen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308551-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Background</b>: Healthcare-Associated Pneumonia (HAP) is a preventable secondary consequence of intubation and mechanical ventilation, common infection in Neuro ICUs (Fox, 2006; Cutler & Davis, 2005; Grap & Munro, 2004). Etiologic factors involve colonizing and opportunistic bacteria from the oral cavity. <p><b>Research question</b>: What is the incidence of HAI and VAP between two groups of head trauma patients with ETT receiving two different types of oral care (Comparison of toothbrush oral care practice to swab cleansing every 12 hours in reducing HAP risk). <p><b>Theoretical Framework </b>Pender (2002<b>)</b> Health Promotion Model <p><b>Methods</b>: Randomized controlled trial (RCT) was designed to determine the effects of oral care and HAP outcomes in Neuro ICU  patients with ETT or on mechanical ventilator over 6 months. Sample: 310 patients; 155 per group randomly selected for either cleansing swabs or toothbrush oral care practices and given investigator form, assessment of HAP (CDC). Data collected: encoded/analysis by SPSS 13.0. <p><b>Results</b>: Mean age- 38; gender- 83% males, 17% females.  HAP incidence is 5.8% in general population, 9% patients cleansing swab group and 2.6% patients tooth brush oral care group; differences statistically significant (P = 0.015) by cleansing swab group and 2.6% patients in tooth brush group. Differences statistically significant (P = 0.015). <p>Multivariable logistic regression of HAP risk factors showed that re- intubation (OR:1.95; 95% CI: 1.68 – 4.32), ventilator (OR:3.64; 95%CI:2.62- 8.04), re-feeding tube (OR:17.44; 95% CI: 2.67 – 114.05). Differences were statistically significant (P < 0.05). Oral care by tooth brush was more effective than swabs in plaque removal and gingival stimulation, reducing incidence of HAP. <p><b>Conclusions</b>: Oral care using tooth brushes is essential to prevent oral problems and HAP complications for Neuro ICU patients.  Maintaining oral care process of intubated patients improves oral health, reduces HAP, hospitalization time and healthcare costs while improving the quality of care.en_GB
dc.subjectHealthcare-Associated Pneumonia (HAPen_GB
dc.subjectOral care (toothbrush versus swab cleanser)en_GB
dc.date.available2013-12-19T17:32:48Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:48Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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