Densidade de incidência de pneumonia associada à ventilação mecânica em dois hospitais
DOI:
https://doi.org/10.48017/dj.v8i1.2382Keywords:
Dentists, Pneumonia, Ventilator-Associated, Oral Health, Intensive Care UnitsAbstract
Ventilator-associated pneumonia (VAP) is the main nosocomial infection in patients admitted to the intensive care unit. A strategy to avoid VAP are preventive measures (bundles), which are performed by intensive care professionals. One of the recommendations of the bundles is the oral hygiene protocol for the intubated patient, performed by the nursing technician, which can minimize the incidence of VAP in the ICUs, but which could be better performed by the insertion of the dental surgeon (CD) in the team. The aim of the study was to compare the density of the incidence of VAP (AVIP) in the Intensive Care Units (ICUs) of two private hospitals, named A and B. In hospital A, patients were not followed up by a CD (group 1). In hospital B, there were two collections, one related to patients without DH follow-up (group 2), and another collection of patients who received dental care from a DH (group 3). The incidence densities in groups 1, 2 and 3 were respectively 13.76; 11.96 and 3.63. Although there was no statistical difference between the three groups (p = 0.33), group 3 of patients in hospital B had a considerably lower incidence. The present study concludes by pointing to the importance of including the dentist within the medical-hospital care team for patients using mechanical ventilation, as it contributes to infection control and prevention of searchable diseases that can have consequences on general health.
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Abulhasan, Y. B., Rachel, S. P., Châtillon-Angle, M. O., Alabdulraheem, N., Schiller, I., Dendukuri, N., Angle, M. R., Frenette, C. (2018). Healthcare-associated infections in the neurological intensive care unit: Results of a 6-year surveillance study at a major tertiary care center. American Journal of Infection Control, 46 (6): p. 656-662. Doi: http://doi.org/10.1016/j.ajic.2017.12.001.
Álvarez-Lerma, F., Palomar-Martínez, M., Sánchez-García, M., Martínez-Alonso, M., Álvarez-Rodriguez, J., Lorente, L., Arias-Rivera, S., García, R., Gordo, F., Añón, J. M., Jam-Gatell, R., Vázquez-Calatayud, M., Agra, Y. Prevention of Ventilator-Associated Pneumonia: the multimodal approach of the Spanish ICU “pneumonia zero” program*. Critical Care Medicine, 46 (2), p. 181-188. http://doi.org/ 10.1097/CCM.0000000000002736.
Anvisa. (2013). Critérios diagnósticos de infecções relacionadas à assistência à saúde (1ª ed.). Gerência de Vigilância e Monitoramento em Serviços de Saúde. Gerência Geral de Tecnologia em Serviços de Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/criterios_diagnosticos_infeccoes_assistencia_saude.pdf
Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., Nicolini, E. A., Auxiliadora-Martins, M., Basile-Filho, A., Martinez, R., Bellisimo-Rodrigues, F. (2014). Effectiveness of a dental care intervention in the prevention of lower respiratory tract nosocomial infections among intensive care patients: a randomized clinical trial. Infection Control and Hospital Epidemiology, 35 (11), p. 1342-1348. Doi: http://doi.org/10.1086/678427.
Blot, S., Koulenti, D., Dimopoulos, G., Martin, C., Komnos, A., Krueger, W. A., Spina, G., Armaganidis, A., Rello J. (2014). Prevalence, Risk factors, and mortality ventilator-associated pneumonia in middle-aged, old, and very old critically ill patients. Critical Care Medicine, 42 (2), p. 601-609. Doi: http://doi.org/10.1097/01.ccm.0000435665.07446.50.
Blum, D. F. C., Munaretto, J., Baeder, F. M., Gomez, J., Castro, C. P. P., Bona, A. D. (2017). Influência da presença de profissionais em odontologia e protocolos para assistência à saúde bucal na equipe de enfermagem da unidade de terapia intensiva. estudo de levantamento. Revista Brasileira de Terapia Intensiva, 29 (3), p. 391-393. Doi: http://doi.org/10.5935/0103-507X.20170049.
Blum, D. F. C., Silva, J. A. S., Baeder, F. M., Bona, A. D. (2018). The practice of dentistry in intensive care units in Brazil. Revista Brasileira de Terapia Intensiva, 30 (3), p. 327-332. Doi: http://doi.org/10.5935/0103-507X.20180044.
Chicayban, M. L., Ribela, J. S., Terra, E. L. V. S., Barbosa, P. F. (2017). Bundles de prevenção de pneumonia associada à ventilação mecânica: a importância da multidisciplinaridade. Revista Perspectivas Online: Biológicas & Saúde, 7 (25), p. 25-35. Doi: http://doi.org/10.25242/886872520171200.
Cruz, M. K., de Morais, T. M. N., Trevisani, D. M. (2014). Clinical assessment of the oral cavity of patients hospitalized in an intensive care unit of an emergency hospital. Revista Brasileira de Terapia Intensiva, 26 (4), p.379-383. Doi: http://doi.org/10.5935/0103-507X.20140058.
Cutler, L. R.; Sluman, P. Reducing ventilator associated pneumonia in adult patients through high standards of oral care: a historical control study. (2014). Intensive Crit Care Nurs, 30 (2), p. 61-68. Doi: http://doi.org/10.1016/j.iccn.2013.08.005
Gomes-Filho, I. S., de Oliveira, T. F. L., da Cruz, S. S., Passos-Soares, J. S., Trindade, S. C., Oliveira, M. T., Souza-Machado, A., Cruz A. A., Barreto, M. L., Seymour, G. J. (2014). Influence of periodontitis in the development of nosocomial pneumonia: a case control study. Journal of Periodontology, 85 (5), p. e82-e90. Doi: http://doi.org/10.1902/jop.2013.130369
Júnior, F. (2018, 19 junho). Higiene bucal na UTI reduz em 56% infecções respiratórias. Jornal da USP. https://jornal.usp.br/ciencias/higiene-bucal-na-uti-reduz-em-56-infeccoes-respiratorias/
Liao, Y. M.; Tsai, J. R.; Chou, F. H. (2015). The effectiveness of an oral health care program for preventing ventilator-associated pneumonia. Nurs Crit Care, 20 (2):89-97. Doi: http://doi.org/10.1111/nicc.12037
Li, H., Yang, C. H., Huang, L. O., Cui, Y. H., Xu, D., Wu, C. R., Tang, J. G. Antibiotics de-escalation in the treatment of ventilator-associated pneumonia in trauma patients: a retrospective study on pr97opensity score matching method. (2018). Chinese Medical Journal, 131 (10), p. 1151-1157. Doi: http://doi.org/10.4103/0366-6999.231529.
Nasiriani, K.; Torki, F., Jarahzadeh, M. H.; Maybodi, F. R. The Effect of Brushing with a Soft Toothbrush and Distilled Water on the Incidence of Ventilator-Associated Pneumonia in the Intensive Care Unit. (2016). Tanaffos, 15 (2), p. 101-107.
Pulzi Júnior, S. A., Ferraz, R. R., Lapchick, M. S. (2015). Pneumonia associada à ventilação mecânica como indicador de qualidade e segurança em saúde. Revista Médica de Minas Gerais, 25 (4), p. 517-522. Doi: http://doi.org/10.5935/2238-3182.20150116.
Rosenthal, V. D., Desse, J., Maurizi, D. M., Chaparro, G. J., Orellano, P. W., Chediack, V., Cabrera, R., Golshmid, D., Silva, C. G., Vimercati, J. C., Stagnaro, J. P., Perez, I., Sparado, M. L., Montanini, A. M., Pedersen, D., Paniccia, T. L., Aguilera, A. M., Cermesoni, R, Mele, J. I., Alda, E., Paldoro, A. E., Ortta, A. R., Cooke, B., García, M. C., Obed, M. N., Domínguez, C. V., Saúl, P. A., Del Valle, M. C. R., Bianchi, A. C., Alvarez, G., Pérez, R., Oyola, C. (2018). Impact of the International Nosocomial Infection Control Consortium's multidimensional approach on rates of ventilator-associated pneumonia in 14 intensive care units in 11 hospitals of 5 cities within Argentina. American Journal of Infection Control, 46 (6), p. 674-679. Doi: http://doi.org/10.1016/j.ajic.2017.11.021
Sands, K. M., Wilson, M. J., Lewis, M. A. O., Wise, M. P., Palmer, N., Hayes, A. J., Barnes, R. A., Williams, D. W. (2017). Respiratory pathogen colonization of dental plaque, the lower airways, and endotracheal tube biofilms during mechanical ventilation. Journal of Critical Care, 37, p. 30-37. Doi: http://doi.org/10.1016/j.jcrc.2016.07.019
Santos, T. B., Amaral, M. A., Peralta, N. G., Almeida, R. S. (2017). A inserção da odontologia em unidades de terapia intensiva. Journal of Health Science, 19 (2), p. 83-87. Doi: http://doi.org/10.17921/2447-8938.2017v19n2p83-88.
Vidal, C. F. L., Vidal, A. K. L., Monterio Jr., J. G. M., Cavalcanti, A., Henriques, A. P. C., Oliveira, M., Godoy, M., Coutinho, M., Sobral, P. D., Vilela, C. A., Gomes, B., Leandro, M. A., Montarroyos U., Ximenes, R. A., Lacerda, H. R. (2017). Impact of oral hygiene involving toothbrushing versus chlorhexidine in the prevention of ventilator-associated pneumonia: a randomized study. BMC Infectious Disease, 17 (1), p. 1-9. Doi: http://doi.org/10.1186/s12879-017-2188-0.
Zurmehly, J. (2013). Oral Care Education in the prevention of ventilator-associated pneumonia: quality patient outcomes in the intensive care unit. Journal of Continuing Education in Nursing, 44 (2), p. 67-75. Doi: http://doi.org/10.3928/00220124-20121203-16.
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