Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation

Berry, AM; Davidson, PM; Masters, J; Rolls, K

Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation

Berry, AM Davidson, PM

Masters, J Rolls, K

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Publication Type:: Journal Article
Citation:: American Journal of Critical Care, 2007, 16 (6), pp. 552 - 562
Issue Date:: 2007-11-01

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Field	Value	Language
dc.contributor.author	Berry, AM	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Masters, J	en_US
dc.contributor.author	Rolls, K	en_US
dc.date.issued	2007-11-01	en_US
dc.identifier.citation	American Journal of Critical Care, 2007, 16 (6), pp. 552 - 562	en_US
dc.identifier.issn	1062-3264	en_US
dc.identifier.uri	http://hdl.handle.net/10453/15489
dc.description.abstract	Background Oropharyngeal colonization with pathogenic organisms contributes to the development of ventilator-associated pneumonia in intensive care units. Although considered basic and potentially nonessential nursing care, oral hygiene has been proposed as a key intervention for reducing ventilator-associated pneumonia. Nevertheless, evidence from randomized controlled trials that could inform best practice is limited. Objective To appraise the peer-reviewed literature to determine the best available evidence for providing oral care to intensive care patients receiving mechanical ventilation and to document a research agenda for this important activity in optimizing patients' outcomes. Methods Articles published from 1985 to 2006 in English and indexed in the CINAHL, MEDLINE, Joanna Briggs Institute, Cochrane Library, EMBASE, and DARE databases were searched by using the key terms oral hygiene, oral hygiene practices, oral care, mouth care, mouth hygiene, intubated, mechanically ventilated, intensive care, and critical care. Reference lists of retrieved journal articles were searched for publications missed during the primary search. Finally, the Google search engine was used to do a comprehensive search of the World Wide Web to ensure completeness of the search. The search strategy was verified by a health librarian. Results The search yielded 55 articles: 11 prospective controlled trials, 20 observational studies, and 24 descriptive reports. Methodological issues and the heterogeneity of samples precluded meta-analysis. Conclusions Despite the importance of providing oral hygiene to intensive care patients receiving mechanical ventilation, high-level evidence from rigorous randomized controlled trials or high-quality systematic reviews that could inform clinical practice is scarce.	en_US
dc.relation.ispartof	American Journal of Critical Care	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Mouth	en_US
dc.subject.mesh	Dental Plaque	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Respiration, Artificial	en_US
dc.subject.mesh	Oral Hygiene	en_US
dc.subject.mesh	Intensive Care	en_US
dc.subject.mesh	Evidence-Based Medicine	en_US
dc.subject.mesh	Nursing Research	en_US
dc.subject.mesh	Infection Control	en_US
dc.subject.mesh	Pneumonia, Ventilator-Associated	en_US
dc.subject.mesh	Critical Care	en_US
dc.title	Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	16	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	16	en_US

Abstract:

Background Oropharyngeal colonization with pathogenic organisms contributes to the development of ventilator-associated pneumonia in intensive care units. Although considered basic and potentially nonessential nursing care, oral hygiene has been proposed as a key intervention for reducing ventilator-associated pneumonia. Nevertheless, evidence from randomized controlled trials that could inform best practice is limited. Objective To appraise the peer-reviewed literature to determine the best available evidence for providing oral care to intensive care patients receiving mechanical ventilation and to document a research agenda for this important activity in optimizing patients' outcomes. Methods Articles published from 1985 to 2006 in English and indexed in the CINAHL, MEDLINE, Joanna Briggs Institute, Cochrane Library, EMBASE, and DARE databases were searched by using the key terms oral hygiene, oral hygiene practices, oral care, mouth care, mouth hygiene, intubated, mechanically ventilated, intensive care, and critical care. Reference lists of retrieved journal articles were searched for publications missed during the primary search. Finally, the Google search engine was used to do a comprehensive search of the World Wide Web to ensure completeness of the search. The search strategy was verified by a health librarian. Results The search yielded 55 articles: 11 prospective controlled trials, 20 observational studies, and 24 descriptive reports. Methodological issues and the heterogeneity of samples precluded meta-analysis. Conclusions Despite the importance of providing oral hygiene to intensive care patients receiving mechanical ventilation, high-level evidence from rigorous randomized controlled trials or high-quality systematic reviews that could inform clinical practice is scarce.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/15489