Oral condition of critical patients and its correlation with ventilator-associated pneumonia: a pilot study

INTRODUCTION: Literature has reported inadequate oral hygiene conditions in Intensive Care Unit (ICU) patients and the occurrence of Ventilator-associated pneumonia in about 9%-27% of all intubated patients. OBJECTIVE: The aim of this study was to evaluate ICU patient's oral conditions and correlate this with the presence of ventilator-associated pneumonia. MATERIAL AND METHOD: Twenty-three patients were categorized in the following way: with periodontal disease and ventilator-associated pneumonia, with periodontal disease and without ventilator-associated pneumonia, without periodontal disease and with ventilator-associated pneumonia, and with neither periodontal disease nor ventilator-associated pneumonia. The periodontal disease index, plaque index, and decay-missing-filled index were used in the assessment. RESULT: There was no statistically significant difference in the incidence of periodontal disease with respect to ventilator-associated pneumonia, but the number of teeth and surfaces with attachment loss above 4 mm was always greater in patients with ventilator-associated pneumonia. CONCLUSION: The extent of periodontal disease may contribute to the onset of ventilator-associated pneumonia. However, studies with a larger sample are needed to validate this relationship.

Bibliographic Details

Main Authors:	De Marco,Andrea Carvalho, Cardoso,Camila Galvão, De Marco,Fernando Vinicius Cesar, Melo Filho,Antonio Braulino de, Santamaria,Mauro Pedrine, Jardini,Maria Aparecida Neves
Format:	Digital revista
Language:	English
Published:	Universidade Estadual Paulista Júlio de Mesquita Filho 2013
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772013000300007
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