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 |
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container_title | Intensive & critical care nursing |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0964-3397</identifier><identifier>EISSN: 1532-4036</identifier><identifier>DOI: 10.1016/j.iccn.2011.04.005</identifier><identifier>PMID: 21684164</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>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</subject><ispartof>Intensive & critical care nursing, 2011-08, Vol.27 (4), p.180-185</ispartof><rights>2011 Elsevier Ltd</rights><rights>Copyright © 2011 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-6a005c2d573a64928cafdceef3312f344e03de0055d770d896508f211ac147eb3</citedby><cites>FETCH-LOGICAL-c363t-6a005c2d573a64928cafdceef3312f344e03de0055d770d896508f211ac147eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1034907806?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,12827,27905,27906,30980,30981,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21684164$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berry, Angela M.</creatorcontrib><creatorcontrib>Davidson, Patricia M.</creatorcontrib><creatorcontrib>Nicholson, Lisa</creatorcontrib><creatorcontrib>Pasqualotto, Carmel</creatorcontrib><creatorcontrib>Rolls, Kaye</creatorcontrib><title>Consensus based clinical guideline for oral hygiene in the critically ill</title><title>Intensive & critical care nursing</title><addtitle>Intensive Crit Care Nurs</addtitle><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.</description><subject>Clinical guidelines</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>Clinical practice</subject><subject>Critical Illness</subject><subject>Dental care</subject><subject>Experts</subject><subject>Humans</subject><subject>Infections</subject><subject>Intensive care</subject><subject>Intensive care unit</subject><subject>Intensive care units</subject><subject>Methods</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Oral hygiene</subject><subject>Oral Hygiene - nursing</subject><subject>Oral Hygiene - standards</subject><subject>Pneumonia</subject><subject>Pneumonia, Ventilator-Associated - etiology</subject><subject>Pneumonia, Ventilator-Associated - prevention & control</subject><subject>Validation</subject><issn>0964-3397</issn><issn>1532-4036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1r3DAQhkVpaLZp_0APxdBDe7Ez-rQFvYSlH4FALulZaKVxosVrp5Jd2H_fMZv20EN6EjM876uZeRl7x6HhwM3lvkkhjI0AzhtQDYB-wTZcS1ErkOYl24A1qpbStufsdSl7ALCy06_YueCmU9yoDbveTmPBsSyl2vmCsQpDGlPwQ3W_pIhUYNVPuZoytR6O9wmpkcZqfsAq5DSv6HCs0jC8YWe9Hwq-fXov2I-vX-623-ub22_X26ubOkgj59p4mjOIqFvpjbKiC76PAbGXkoteKoUgIxKjY9tC7KzR0PWCcx-4anEnL9jHk-9jnn4uWGZ3SCXgMPgRp6U4UnBjDBf_J1tN3wiriPz0LMnBaqWlFavph3_Q_bTkkTYmSioLbQeGKHGiQp5Kydi7x5wOPh8Jcmt4bu_W8NwangPlaGESvX-yXnYHjH8lf9Ii4PMJQLrvr4TZlUCBBIwpY5hdnNJz_r8BoTCoVw</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>Berry, Angela M.</creator><creator>Davidson, Patricia M.</creator><creator>Nicholson, Lisa</creator><creator>Pasqualotto, Carmel</creator><creator>Rolls, Kaye</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201108</creationdate><title>Consensus based clinical guideline for oral hygiene in the critically ill</title><author>Berry, Angela M. ; Davidson, Patricia M. ; Nicholson, Lisa ; Pasqualotto, Carmel ; Rolls, Kaye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-6a005c2d573a64928cafdceef3312f344e03de0055d770d896508f211ac147eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Clinical guidelines</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>Clinical practice</topic><topic>Critical Illness</topic><topic>Dental care</topic><topic>Experts</topic><topic>Humans</topic><topic>Infections</topic><topic>Intensive care</topic><topic>Intensive care unit</topic><topic>Intensive care units</topic><topic>Methods</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Oral hygiene</topic><topic>Oral Hygiene - nursing</topic><topic>Oral Hygiene - standards</topic><topic>Pneumonia</topic><topic>Pneumonia, Ventilator-Associated - etiology</topic><topic>Pneumonia, Ventilator-Associated - prevention & control</topic><topic>Validation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berry, Angela M.</creatorcontrib><creatorcontrib>Davidson, Patricia M.</creatorcontrib><creatorcontrib>Nicholson, Lisa</creatorcontrib><creatorcontrib>Pasqualotto, Carmel</creatorcontrib><creatorcontrib>Rolls, Kaye</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive & critical care nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berry, Angela M.</au><au>Davidson, Patricia M.</au><au>Nicholson, Lisa</au><au>Pasqualotto, Carmel</au><au>Rolls, Kaye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consensus based clinical guideline for oral hygiene in the critically ill</atitle><jtitle>Intensive & critical care nursing</jtitle><addtitle>Intensive Crit Care Nurs</addtitle><date>2011-08</date><risdate>2011</risdate><volume>27</volume><issue>4</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>0964-3397</issn><eissn>1532-4036</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>21684164</pmid><doi>10.1016/j.iccn.2011.04.005</doi><tpages>6</tpages></addata></record> |
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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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