Education, Science, Technology, Innovation and Life
Open Access
Sign In
  1. Home
  2. Journals
  3. MEDS Public Health and Preventive Medicine
  4. Vol 4, Issue 1, 2024

Advancements in Oral Hygiene Practices for the Prevention of Ventilator-Associated Pneumonia

Download as PDF

DOI: 10.23977/phpm.2024.040110 | Downloads: 7 | Views: 113

Author(s)

Deng Wei 1, Shiqi Chen 1, Qiongfang Deng 2, Guo Lin 2

Affiliation(s)

1 College of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan Province, 650500, China
2 Department of Critical Care Medicine, The Affiliated Hospital of Yunnan University, Kunming, Yunnan Province, 650021, China

Corresponding Author

Qiongfang Deng

ABSTRACT

This review assesses the impact of oral hygiene interventions on preventing Ventilator-Associated Pneumonia (VAP) in ICU patients. It highlights the efficacy of chlorhexidine, povidone-iodine, sodium bicarbonate, and traditional Chinese medicine (TCM) in reducing the incidence of VAP by minimizing oral bacterial colonization. Chlorhexidine is notably effective at both high and low concentrations, while povidone-iodine offers strong bactericidal properties. Sodium bicarbonate shows potential, particularly for neonatal care, and TCM preparations emerge as beneficial with minimal side effects. Mechanical methods like toothbrushing and irrigation are also emphasized for their role in enhancing oral cleanliness. The review advocates for a multimodal oral care approach to significantly lower VAP risk, indicating a pressing need for standardized care protocols and further research to optimize preventive strategies in mechanically ventilated patients.

KEYWORDS

Ventilator-Associated Pneumonia (VAP), Oral Hygiene Interventions, Chlorhexidine, Povidone-Iodine, Traditional Chinese Medicine (TCM)

CITE THIS PAPER

Deng Wei, Shiqi Chen, Qiongfang Deng, Guo Lin, Advancements in Oral Hygiene Practices for the Prevention of Ventilator-Associated Pneumonia. MEDS Public Health and Preventive Medicine (2024) Vol. 4: 66-69. DOI: http://dx.doi.org/10.23977/phpm.2024.040110.

REFERENCES

[1] Yu Cuixiang, Wang Xiyan. "Interpretation of the Guidelines for the Diagnosis and Treatment of Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia in Chinese Adults (2018 Edition)" [J]. China Medical Journal, 2021, 56(9): 951-953.
[2] Yang Ting, Nan Guoli, Yu Bo, et al. "Feasibility Study of Replacing Hydrogen Peroxide with Compound Chlorhexidine for Oral Care in Intubated Patients" [J]. Advances in Modern Biomedicine, 2013, 13(19): 3741-3743.
[3] Tang Huiting, Lu Huijuan, Yang Xiaoli, et al. "Meta-Analysis on the Effectiveness of Chlorhexidine in Oral Care for Critically Ill Intubated Patients" [J]. Journal of Nursing, 2013, 28(03): 78-81.
[4] Gao Jie, Chen Zhen, Guo Shasha. "Short-Term Effectiveness of Chlorhexidine Oral Care in Preventing Ventilator-Associated Pneumonia in Critical Patients" [J]. Modern Medicine & Health, 2019, 35(04): 602-604.
[5] Guo Yi, Zhu Cuiqi, Guo Jing, et al. "Meta-Analysis on the Effectiveness of Chlorhexidine for Oral Care in Preventing VAP in Mechanically Ventilated Patients" [J]. Evidence-Based Nursing, 2022, 8(04): 427-433.
[6] Lu Wuying, Yong Xuan, Sun Simei. "Application of Different Concentrations of Chlorhexidine Oral Care Solution in Patients with Oral Endotracheal Intubation" [J]. Chinese Journal of Infection Control, 2016, 15(08): 579-582.
[7] Wei Zongting, Wang Chuanxiu, Sun Liang, et al. "Observation on the Effectiveness of 2% Chlorhexidine Oral Care Solution in Preventing Ventilator-Associated Pneumonia" [J]. Nursing Research, 2014, 28(08): 984-985.
[8] Hu Zhaoyong, Qu An, Cong Xinde. "Clinical Application of Povidone-Iodine" [J]. Journal of Chinese Hospital Pharmacy, 1998, (07): 19-20.
[9] Huang Lipeng, Jiang Xuli. "Analysis of the Effectiveness of Povidone-Iodine Oropharyngeal Disinfection in Preventing Ventilator-Associated Pneumonia" [J]. Chinese Journal of Preventive Medicine, 2018, 19(05): 398-400.
[10] Sun Danying, Li Luoyao, Yang Dongmei. "Comparison of the Effectiveness of Povidone-Iodine Gargle Solution and Compound Borax Gargle Solution in Preventing VAP in Mechanically Ventilated Patients and Their Impact on Bacterial Colonization" [J]. General Nursing, 2023, 21(18): 2534-2537.
[11] Ding Ruixue, Zhao Huili, Peng Yuanzheng, et al. "The Effectiveness of Povidone-Iodine Gargle Solution in Oral Health Management for Patients with Tracheal Intubation in the Intensive Care Unit" [J]. Jiangsu Healthcare, 2023, 25(03): 178-180.
[12] Emami Zeydi A, Parvizi A, Haddadi S, et al. "Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia: A Systematic Review and Meta-Analysis" [J]. Archives of Academic Emergency Medicine, 2023 Apr 4; 11(1): e31.
[13] Chen Yu. "Evaluation of the Nursing Effectiveness of Sodium Bicarbonate Oral Care in Preventing Ventilator Pneumonia in Neonates" [J]. Everyone's Health (Academic Edition), 2015, 9(20): 21-22.
[14] Zheng Xiurong, Guo Yanmei. "Analysis of the Effect of Sodium Bicarbonate Oral Care Intervention in Preventing Oral Infections in ICU Patients" [J]. International Medicine and Health Guidance News, 2019, 17(08): 82-84.
[15] Zhang Ru, Zhang Jing, Ren Borong, et al. "Observation on the Effectiveness of Combining 0.9% Saline and 2.5% Sodium Bicarbonate for Oral Care in Preventing Ventilator-Associated Pneumonia in Neonates" [J]. Guizhou Medicine, 2022, 46(11): 1837-1838.
[16] Zhu Yanan, Pang Xufeng, Sun Yunbo. "Clinical Observation of Traditional Chinese Medicine Preparations on Oropharyngeal Bacterial Decolonization and Prevention of Ventilator-Associated Pneumonia" [J]. World Traditional Chinese Medicine, 2023, 18(15): 2185-2189.
[17] Liao Feng, Lin Bo, Zhang Qijun, et al. "Study on the Preventive Effects of San Huang Xie Xin Tang Oral Care Solution on Ventilator-Associated Pneumonia" [J]. Journal of External Therapy of Traditional Chinese Medicine, 2022, 31(05): 107-109.
[18] Liang Yandong, Zhao Liyun. "Observation of the Effect of Traditional Chinese Medicine Oral Care Solution on Oral Care in ICU Patients with Tracheal Intubation" [J]. International Medicine and Health Guidance News, 2020, 26(13): 1951-1954.
[19] Gong Mingna. "The Effectiveness of Different Oral Care Methods in Preventing Ventilator-Associated Pneumonia" [J]. Everyone's Health (Academic Edition), 2015, 9(15): 246.
[20] Zhang Zhiying, Zhang Xiaoying, Ding Yulan. "Comparison of the Effects of Different Oral Care Methods in Preventing Ventilator-Associated Pneumonia" [J]. Northwest Defense Medical Journal, 2019, 40(09): 544-548.
[21] Zhang Yanling, Zhang Xinkui. "Clinical Evaluation of the Toothbrushing Effectiveness of Manual Toothbrushes with Different Bristle Materials" [J]. Journal of Practical Oral Medicine, 2018, 34(1): 117-120.
[22] Zeng Liming, Tang Keling. "The Role of Improved Oral Care Methods in Enhancing Oral Health and Preventing Ventilator-Associated Pneumonia in ICU Mechanically Ventilated Patients" [J]. Chinese Rural Medicine, 2023, 30(16): 59-60+62.
[23] Xia Yu, Min Zhaoqin. "Application of Improved Oral Care Methods in Mechanically Ventilated Patients" [J]. Heilongjiang Medicine, 2022, 46(03): 374-375+378.
[24] Zhang Lixia, Yang Qing. "Evaluation of the Application Value of Chlorhexidine Cotton Ball Wiping Method in Oral Care for Patients with Tracheal Intubation" [J]. International Medicine and Health Guidance News, 2020, 18(22): 93-94.
[25] Wang Yaning, Wang Hongyan, Zhai Liping, et al. "Study on the Prevention of Ventilator-Associated Pneumonia with the Dry and Wet Cotton Ball Wiping Method for Oral Care" [J]. Journal of Nursing, 2013, 28(11): 15-16.
[26] Li Hui. "Observation on the Effects of Two Oral Care Methods in Preventing Ventilator-Associated Pneumonia in ICU Comatose Patients" [J]. Health Vocational Education, 2015, 33(05): 150-151. 
[27] Sun Xiaowen, Jiang Rong, Xu Anqi, et al. "Meta-Analysis on the Application Effect of Oral Irrigation Nursing Method in Patients with Oral Endotracheal Intubation" [J]. Contemporary Nurse (Late Edition), 2020, 27(05): 42-44.

Subscription
E-Mail Alert
Most popular papers
Call for Special Issue
Publication Ethics & OA Statement
Plagiarism Policy
Contact Us
Downloads: 1831
Visits: 85859

Sponsors, Associates, and Links

All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.