Al-Bayaty Fouad Hussain, Baharudin Najwa, Hassan Mohamed Ibrahim Abu
Center of Periodontology Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
Center of Restorative Dentistry Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
Dent Med Probl. 2021 Jul-Sep;58(3):385-395. doi: 10.17219/dmp/132979.
This overview was conducted to highlight the importance of adequate oral hygiene for patients severely affected by coronavirus disease 2019 (COVID-19) due to infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). These are patients who were admitted to the intensive care unit (ICU) to receive oxygen through mechanical ventilation due to severe pneumonia as a complication of COVID-19. Various dental plaque removal methods for ventilated patients were discussed with regard to their efficacy. The use of chemical agents was also considered to determine which one might be proposed as the best choice. Also, oral care programs or systems that can be implemented by ICU nurses or staff in the case of these ventilated patients were suggested based on evidence from the literature. These interventions aim to reduce microbial load in dental plaque/biofilm in the oropharynx as well as the aspiration of the contaminated saliva in order to prevent the transmission of the dental plaque bacteria to the lungs or other distant organs, and reduce the mortality rate.
本综述旨在强调对于因感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）而受到2019冠状病毒病（COVID-19）严重影响的患者而言，保持口腔卫生的重要性。这些患者因COVID-19并发症导致严重肺炎而入住重症监护病房（ICU），需通过机械通气吸氧。文中讨论了各种针对使用呼吸机患者的牙菌斑清除方法及其疗效。还考虑了化学制剂的使用，以确定哪种制剂可能是最佳选择。此外，根据文献证据，针对这些使用呼吸机的患者，建议了ICU护士或工作人员可实施的口腔护理方案或系统。这些干预措施旨在减少口咽部位牙菌斑/生物膜中的微生物负荷以及受污染唾液的误吸，以防止牙菌斑细菌传播至肺部或其他远处器官，并降低死亡率。
