Oral condition of critical patients and its correlation with ventilator-associated pneumonia: a pilot study

Revista de Odontologia da UNESP

Fernando Vinicius Cesar De Marco¹  Antonio Braulino de Melo Filho²  Camila Galvão Cardoso²  Andrea Carvalho De Marco²  Mauro Pedrine Santamaria²  Maria Aparecida Neves Jardini² 

[1] Hospital viValle;Univ Estadual Paulista;

关键词: dental plaque;    intensive care units;    cross infections;    oral health;    periodontal diseases;   

DOI  :  

来源: DOAJ

【 摘 要 】

INTRODUCTION: Literature has reported inadequate oral hygiene conditions in Intensive Care Unit (ICU) patients and the occurrence of Ventilator-associated pneumonia in about 9%-27% of all intubated patients. OBJECTIVE: The aim of this study was to evaluate ICU patient's oral conditions and correlate this with the presence of ventilator-associated pneumonia. MATERIAL AND METHOD: Twenty-three patients were categorized in the following way: with periodontal disease and ventilator-associated pneumonia, with periodontal disease and without ventilator-associated pneumonia, without periodontal disease and with ventilator-associated pneumonia, and with neither periodontal disease nor ventilator-associated pneumonia. The periodontal disease index, plaque index, and decay-missing-filled index were used in the assessment. RESULT: There was no statistically significant difference in the incidence of periodontal disease with respect to ventilator-associated pneumonia, but the number of teeth and surfaces with attachment loss above 4 mm was always greater in patients with ventilator-associated pneumonia. CONCLUSION: The extent of periodontal disease may contribute to the onset of ventilator-associated pneumonia. However, studies with a larger sample are needed to validate this relationship.

【 授权许可】

Unknown