Care Bundle Approach for Oral Health Maintenance and Reduction of Ventilator-Associated Pneumonia

Caring for patients in the intensive care unit (ICU) creates competing priorities of interventions for nurses and other health care providers. Oral care might be prioritized lower; however, its neglect may lead to sequelae such as extended time in the ICU, nosocomial diseases most notably ventilator...

Full description

Saved in:

Bibliographic Details
Published in:	Critical care nursing quarterly Vol. 47; no. 4; pp. 335 - 345
Main Authors:	Sabrah, Nagwa Yehya Ahmed, Pellegrino, Jeffrey L, Mansour, Hend El-Sayed, Mostafa, Marwa Fathallah, Kandeel, Nahed Attia
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins Ovid Technologies 01-10-2024
Subjects:	Adult Critical Care Nursing Egypt - epidemiology Female Humans Incidence Intensive Care Units Male Middle Aged Oral Health Oral hygiene Oral Hygiene - nursing Patient Care Bundles Pneumonia Pneumonia, Ventilator-Associated - epidemiology Pneumonia, Ventilator-Associated - prevention & control Respiration, Artificial - adverse effects Ventilators Egypt
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Caring for patients in the intensive care unit (ICU) creates competing priorities of interventions for nurses and other health care providers. Oral care might be prioritized lower; however, its neglect may lead to sequelae such as extended time in the ICU, nosocomial diseases most notably ventilator-associated pneumonia (VAP), or oral problems. Safe patient care depends on effective and efficient oral care. The aim of this study was to lower the incidence of VAP and maintain oral health through implementing an "oral care bundle" for mechanically ventilated (MV) patients. Using a quasi-experimental design, we divided 82 adult MV patients in the ICUs of a university-based hospital in Egypt into a control group (n = 41) that received the standard of care and a bundle group (n = 41) that received an "oral care bundle." The results of the study reported a significantly lower incidence of VAP in the intervention group (P = .015). It can be concluded that there is a significant relationship between receiving an oral care bundle and improved oral health and a reduction in the VAP rate among MV patients. This highlights the need to incorporate the oral care bundle in the daily nursing care for MV patients.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0887-9303 1550-5111 1550-5111
DOI:	10.1097/CNQ.0000000000000522