Document Detail


Oral care practices in intensive care units: a survey of 59 European ICUs.
MedLine Citation:
PMID:  17384927     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the type and frequency of oral care practices in European ICUs and the attitudes, beliefs, and knowledge of health care workers. DESIGN: An anonymous questionnaire was distributed to representatives of European ICUs. Results were obtained from 59 ICUs (one questionnaire per ICU) in seven countries 91% of respondents were registered nurses. MEASUREMENTS AND RESULTS: Of the respondents 77% reported that they had received adequate training on providing oral care; most (93%) also expressed the desire to learn more about oral care. Oral care was perceived to be high priority in mechanically ventilated patients (88%). Cleaning the oral cavity was considered difficult by 68%, and unpleasant as well as difficult by 32%. In 37% of cases respondents felt that despite their efforts oral health worsens over time in intubated patients. Oral care practices are carried out once daily (20%), twice (31%) or three times (37%). Oral care consists principally of mouth washes (88%), mostly performed with chlorhexidine (61%). Foam swabs (22%) and moisture agents (42%) are used less frequently as well as manual toothbrushes (41%) although the literature indicates that these are more effective for thorough cleaning of the oral cavity. Electric toothbrushes were never used. CONCLUSIONS: In European ICUs oral care is considered very important. It is experienced as a task that is difficult to perform, and that does not necessarily succeed in ensuring oral health in patients with prolonged intubation. Oral care consists primarily of mouth washes. The use of toothbrushes should be given more attention.
Authors:
Jordi Rello; Despoina Koulenti; Stijn Blot; Rafael Sierra; Emili Diaz; Jan J De Waele; Antonio Macor; Kemal Agbaht; Alejandro Rodriguez
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-03-24
Journal Detail:
Title:  Intensive care medicine     Volume:  33     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-28     Completed Date:  2007-10-10     Revised Date:  2008-05-15    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1066-70     Citation Subset:  IM    
Affiliation:
Joan XXIII University Hospital, Critical Care Department, Mallafrè Guasch 4, 43007 Tarragona, Spain. jrello.hj23.ics@gencat.net
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MeSH Terms
Descriptor/Qualifier:
Europe
Health Care Surveys
Intensive Care Units*
Nurses
Oral Health*
Comments/Corrections
Comment In:
Intensive Care Med. 2007 Dec;33(12):2229; author reply 2228   [PMID:  17917714 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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