Pneumonia and the role of dentistry on ICU Staff
Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryI...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Universidade Estadual de Campinas
2020-11-01
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| Series: | Brazilian Journal of Oral Sciences |
| Subjects: | |
| Online Access: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436 |
| _version_ | 1798024058112049152 |
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| author | Tácio Pinheiro Bezerra Clarissa Sales de Paula Campêlo Francisco Artur Forte Oliveira Clarissa Pessoa Fernandes Forte Aghata Kelma Palácio Gomes Paulo Goberlânio de Barros Silva Bráulio Matias de Carvalho Ana Paula Negreiros Nunes Alves Fabrício Bitu Sousa |
| author_facet | Tácio Pinheiro Bezerra Clarissa Sales de Paula Campêlo Francisco Artur Forte Oliveira Clarissa Pessoa Fernandes Forte Aghata Kelma Palácio Gomes Paulo Goberlânio de Barros Silva Bráulio Matias de Carvalho Ana Paula Negreiros Nunes Alves Fabrício Bitu Sousa |
| author_sort | Tácio Pinheiro Bezerra |
| collection | DOAJ |
| description | Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV. |
| first_indexed | 2024-04-11T17:56:23Z |
| format | Article |
| id | doaj.art-3e20580a46dc49f3ac80547063027918 |
| institution | Directory Open Access Journal |
| issn | 1677-3225 |
| language | English |
| last_indexed | 2024-04-11T17:56:23Z |
| publishDate | 2020-11-01 |
| publisher | Universidade Estadual de Campinas |
| record_format | Article |
| series | Brazilian Journal of Oral Sciences |
| spelling | doaj.art-3e20580a46dc49f3ac805470630279182022-12-22T04:10:46ZengUniversidade Estadual de CampinasBrazilian Journal of Oral Sciences1677-32252020-11-011910.20396/bjos.v19i0.8660436Pneumonia and the role of dentistry on ICU StaffTácio Pinheiro Bezerra0Clarissa Sales de Paula Campêlo1Francisco Artur Forte Oliveira2Clarissa Pessoa Fernandes Forte 3Aghata Kelma Palácio Gomes 4Paulo Goberlânio de Barros Silva5Bráulio Matias de Carvalho 6Ana Paula Negreiros Nunes Alves7Fabrício Bitu Sousa8University Center Christus. Hospitalar Health and Management Institute.University Center Christus University Center Christus University Center Christus University Center ChristusUniversity Center ChristusUniversity Center Christus. Hospitalar Health and Management Institute.Federal University of CearáUniversity Center ChristusVentilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV.https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436Respiration, artificialPneumonia, ventilator-associatedDentistry |
| spellingShingle | Tácio Pinheiro Bezerra Clarissa Sales de Paula Campêlo Francisco Artur Forte Oliveira Clarissa Pessoa Fernandes Forte Aghata Kelma Palácio Gomes Paulo Goberlânio de Barros Silva Bráulio Matias de Carvalho Ana Paula Negreiros Nunes Alves Fabrício Bitu Sousa Pneumonia and the role of dentistry on ICU Staff Brazilian Journal of Oral Sciences Respiration, artificial Pneumonia, ventilator-associated Dentistry |
| title | Pneumonia and the role of dentistry on ICU Staff |
| title_full | Pneumonia and the role of dentistry on ICU Staff |
| title_fullStr | Pneumonia and the role of dentistry on ICU Staff |
| title_full_unstemmed | Pneumonia and the role of dentistry on ICU Staff |
| title_short | Pneumonia and the role of dentistry on ICU Staff |
| title_sort | pneumonia and the role of dentistry on icu staff |
| topic | Respiration, artificial Pneumonia, ventilator-associated Dentistry |
| url | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8660436 |
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