Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
free free
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Oral care and the risk of bloodstream infections in mechanically ventilated adults: A review Jones DJ; Munro CLIntensive Crit Care Nurs 2008[Jun]; 24 (3): 152-61RATIONALE: Bacteraemia, defined as the presence of viable bacteria in the circulating blood can result in bloodstream infection, which is one of the most frequent and challenging hospital-acquired infections. Bacteraemia occurs in healthy populations with manipulation of the oral mucosa, including toothbrushing. Oral care is commonly administered to mechanically ventilated patients, it is important to determine whether this practice contributes to the incidence of bacteraemia. This paper reviews the literature on the link between the manipulation of the oral cavity and the development of bacteraemia in mechanically ventilated adults. METHODS: Searches were conducted using Medline, CINAHL, and the Cochrane Library databases. Article inclusion criteria were (1) a focus on mechanical ventilation and critical illness, (2) human subjects, (3) adult subjects, and (4) publication in English (or available English translation). RESULTS: Nine articles met inclusion criteria and were critiqued. All relied upon clinical data as outcome measures; many were retrospective. The three organisms most often associated with nosocomial bloodstream infections were Staphylococcus aureus, coagulase negative staphylococci, and Enterococcus species. Establishing the origin of bacteraemia was problematic in most studies. CONCLUSIONS: Additional research is needed to understand the relationship of oral care practices to bacteraemia in mechanically ventilated adults.|Adult[MESH]|Bacteremia/epidemiology/*etiology/prevention & control[MESH]|Critical Care/methods[MESH]|Cross Infection/epidemiology/*etiology/prevention & control[MESH]|Health Services Needs and Demand[MESH]|Humans[MESH]|Incidence[MESH]|Infection Control/methods[MESH]|Mouth Mucosa/*microbiology[MESH]|Nursing Evaluation Research[MESH]|Oral Hygiene/*adverse effects/methods/nursing[MESH]|Outcome Assessment, Health Care[MESH]|Research Design[MESH]|Respiration, Artificial/*adverse effects[MESH]|Retrospective Studies[MESH]|Risk Factors[MESH] |