Volume 24, Issue 105 (6-2016)                   J Adv Med Biomed Res 2016, 24(105): 9-17 | Back to browse issues page

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Jamshidi M, Qatreh Samany F, Goli Farhood G, Qodrati S, Falakaflaki B. Evaluating the Effect of Chlorhexidine and Tooth Brushing in Preventing the Ventilator Associated Pneumonia. J Adv Med Biomed Res 2016; 24 (105) :9-17
URL: http://journal.zums.ac.ir/article-1-3579-en.html
1- Dept. of Anesthesiology, Mousavy Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Anesthesiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran , fsamany@zums.ac.ir
3- Dept. of Epidemiology and Vital Statistics, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
4- Dept. of Internal Medicine,Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
5- Dept. of Pediathric Medicine, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (152998 Views)

Background and Objective: Ventilator-associated pneumonia is a common infection in intensive care units leading to increased morbidity and mortality. This study was conducted to examine the effects of mechanical (tooth brushing), pharmacological (topical oral chlorhexidine), and their combination (tooth brushing plus chlorhexidine) in oral care on preventing the ventilator-associated pneumonia of critically ill patients in intensive care units.

Materials and Methods: Patients admitted to intensive care units of Ayatollah Mousavi Hospital of Zanjan that received intubation within 24 hours were considered as subjects of this study.  The patients (n= 180) were randomly allocated to three groups: first group (n=60) was administered 0.12% solution of chlorhexidine oral swab; second group (n=61) used tooth brushing; third group (n=59) used both tooth brushing and chlorhexidine oral swab. Ventilator-associated pneumonia was determined by using the Clinical Pulmonary Infection Score.

Results: The three groups did not differ significantly in clinical characteristics. At days 3 and 7, pneumonia developed in 29.4% and 59.4% of patients, respectively. The frequency of pneumonia at days 3 and 7 was not different in three groups.

Conclusion: Mechanical and pharmacological or their combination in oral care did not point to any kind of superiority of one approach over another in terms of the prevention of ventilator-associated pneumonia.

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Type of Study: Clinical Trials |
Received: 2016/03/16 | Accepted: 2016/03/16 | Published: 2016/03/16

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