Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Republic Of Korea.
Department of Dental Hygiene, Yeoju Institute of Technology, Republic Of Korea.
Br Dent J. 2022 Feb;232(4):253-259. doi: 10.1038/s41415-022-3986-3. Epub 2022 Feb 25.
Aim This study aimed to examine the effects of professional oral hygiene care for the prevention of ventilator-associated pneumonia (VAP) and the improvement of oral hygiene among patients in the trauma intensive care unit (TICU).Materials and methods TICU patients who underwent intubation were randomly assigned to either the experimental group (n = 29) or control group (n = 28). The developed professional oral hygiene care protocol was administered to patients in the experimental group every 24 hours. Additionally, data regarding general characteristics, medical history, oral hygiene status, Clinical Pulmonary Infection Score and quantitative polymerase chain reaction were assessed.Results The incidence of VAP differed between the control group (10.58) and experimental group (0) post intervention. Post-admission bedside oral exam scores with significant differences in oral hygiene were observed in the experimental group (in contrast to the control group) from 48 hours onwards (10.69 ± 3.43, p = 0.06). Staphylococcus aureus and Klebsiella pneumoniae exhibited significant differences in count as professional oral hygiene care continued.Conclusions This study suggests a model in which different health care professionals can cooperate to reduce the incidence of VAP and improve oral health conditions.
目的 本研究旨在探讨专业口腔卫生护理对预防呼吸机相关性肺炎（VAP）和改善创伤重症监护病房（TICU）患者口腔卫生的影响。
材料与方法 将接受插管的 TICU 患者随机分为实验组（n=29）和对照组（n=28）。实验组患者每 24 小时接受一次制定的专业口腔卫生护理方案。此外，还评估了一般特征、病史、口腔卫生状况、临床肺部感染评分和定量聚合酶链反应的数据。
结果 干预后，对照组（10.58%）和实验组（0%）的 VAP 发生率不同。入院后口腔床边检查评分显示，实验组口腔卫生状况有显著差异（与对照组相比），从 48 小时开始（10.69±3.43，p=0.06）。金黄色葡萄球菌和肺炎克雷伯菌的数量在继续进行专业口腔卫生护理时表现出显著差异。
结论 本研究提出了一种模式，不同的医疗保健专业人员可以合作，以降低 VAP 的发生率并改善口腔健康状况。
