Preventing ventilator-associated pneumonia through oral care, product selection, and application method: a literature review

dc.contributor.authorHillier, B.
dc.contributor.authorWilson, C.
dc.contributor.authorChamberlain, D.
dc.contributor.authorKing, L.
dc.date.issued2013
dc.description.abstractObjective: Review the literature to identify the most effective method of oral hygiene to reduce the incidence of ventilator-associated pneumonia (VAP). Background: Ventilator-associated pneumonia is the most common nosocomial infection in patients being treated with mechanical ventilation. Method: This study is a systematic literature review. The databases searched included Web of Science, Cumulative Index to Nursing and Allied Health Literature, Ovid, and MEDLINE. Results: Implementation of oral care protocols and nurse education programs reduced VAP. Although chlorhexidine was the most popular oral care product, no consensus emerged on concentration or protocols for oral care. Conclusion: No consensus on best practice for oral hygiene in patients being treated with mechanical ventilation was found. Chlorhexidine was the most popular oral care product. Implementation of an oral care protocol, ongoing nurse education, and evaluation were important in reducing the incidence of VAP. Future research should analyze chlorhexidine concentration, application techniques, and frequency of oral care, to optimize VAP prevention.
dc.identifier.citationAACN Advanced Critical Care, 2013; 24(1):38-58
dc.identifier.doi10.1097/NCI.0b013e31827df8ad
dc.identifier.issn1559-7768
dc.identifier.issn1559-7776
dc.identifier.urihttps://hdl.handle.net/11541.2/136606
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.rightsCopyright 2013 American Association of Critical-Care Nurses
dc.source.urihttps://doi.org/10.1097/nci.0b013e31827df8ad
dc.subjectcritical care
dc.subjectintensive care
dc.subjectoral care
dc.subjectoral hygiene
dc.subjectventilator-associated pneumonia
dc.titlePreventing ventilator-associated pneumonia through oral care, product selection, and application method: a literature review
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9916265309801831

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