Consensus based clinical guideline for oral hygiene in the critically ill

Oropharyngeal colonisation has been identified as a factor contributing to ventilator associated pneumonia (VAP) in the Intensive Care Unit (ICU). We sought to develop a clinical practice guideline for providing oral hygiene in the critically ill. Following a systematic literature review a prospecti...

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Veröffentlicht in:Intensive & critical care nursing 2011-08, Vol.27 (4), p.180-185
Hauptverfasser: Berry, Angela M., Davidson, Patricia M., Nicholson, Lisa, Pasqualotto, Carmel, Rolls, Kaye
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container_end_page 185
container_issue 4
container_start_page 180
container_title Intensive & critical care nursing
container_volume 27
creator Berry, Angela M.
Davidson, Patricia M.
Nicholson, Lisa
Pasqualotto, Carmel
Rolls, Kaye
description Oropharyngeal colonisation has been identified as a factor contributing to ventilator associated pneumonia (VAP) in the Intensive Care Unit (ICU). We sought to develop a clinical practice guideline for providing oral hygiene in the critically ill. Following a systematic literature review a prospectively derived consensus development conference was convened and sponsored by a clinical governance unit. The consensus development conference generated 12 recommendations for tools and solutions; frequency and duration of cleaning; oral assessment tools and oral hygiene protocols. These recommendations underwent a validation process. In light of sparse high level evidence to inform guidelines, further research is needed inform clinical practice. Oral hygiene is a critical element of nursing care and a standardised approach has the potential to improve clinical outcomes.
doi_str_mv 10.1016/j.iccn.2011.04.005
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source MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA); ProQuest Central UK/Ireland
subjects Clinical guidelines
Clinical medicine
Clinical nursing
Clinical practice
Critical Illness
Dental care
Experts
Humans
Infections
Intensive care
Intensive care unit
Intensive care units
Methods
Nursing
Nursing care
Oral hygiene
Oral Hygiene - nursing
Oral Hygiene - standards
Pneumonia
Pneumonia, Ventilator-Associated - etiology
Pneumonia, Ventilator-Associated - prevention & control
Validation
title Consensus based clinical guideline for oral hygiene in the critically ill
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