Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial

Background and purpose: Ventilator-associated pneumonia is a common, serious and costly disorder in intensive care units (ICUs) that rank first in hospital infections. So, appropriate interventions are needed to prevent this condition. Eucalyptus is a plant with antibiotic properties, therefore, cur...

Full description

Bibliographic Details
Main Authors: Masoud Fallahi, HasanAli Karimpour, Javad AminiSaman, Saeed Mohammadi, Azam Sharifi, Alireza Jahanbakhsh, Masoud Modarresi, Maryam Mirzaei, Rasol Kawyannejad
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2019-03-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-11633-en.html
_version_ 1797943847835140096
author Masoud Fallahi
HasanAli Karimpour
Javad AminiSaman
Saeed Mohammadi
Azam Sharifi
Alireza Jahanbakhsh
Masoud Modarresi
Maryam Mirzaei
Rasol Kawyannejad
author_facet Masoud Fallahi
HasanAli Karimpour
Javad AminiSaman
Saeed Mohammadi
Azam Sharifi
Alireza Jahanbakhsh
Masoud Modarresi
Maryam Mirzaei
Rasol Kawyannejad
author_sort Masoud Fallahi
collection DOAJ
description Background and purpose: Ventilator-associated pneumonia is a common, serious and costly disorder in intensive care units (ICUs) that rank first in hospital infections. So, appropriate interventions are needed to prevent this condition. Eucalyptus is a plant with antibiotic properties, therefore, current study aimed at investigating its effects on prevention of endotracheal tube-associated pneumonia in ICU. Materials and methods: A double-blind clinical trial was performed in 100 patients with endotracheal tube and on ventilator in ICU in Kermanshah Imam Reza Hospital, Iran. The patients were divided into two groups. In intervention group (n=50) 4 cc of 2% eucalyptus solution was mixed with 6 cc distilled water and in control group (n=50) 10 cc distilled water was given three times daily through a nebulizer kit connected to mechanical ventilation devices. Data on the rate of early and late pneumonia were compared based on CPIS criteria applying t-test and Chi-square. Results: The incidence of early and late pneumonia was lower in intervention group compared to that of the controls. The decrease was significantly more in onset of late pneumonia (P=0.01). The onset of pneumonia due to mechanical ventilation was significantly higher in intervention group than that of the control group (P=0.01). Conclusion: Eucalyptus was found to be an effective prophylaxis that could delay the development of pulmonary infection in patients on ventilation. Therefore, it is suggested in ICUs in patients with tracheal tubes.   (Clinical Trials Registry Number: IRCT2017010727819N2)
first_indexed 2024-04-10T20:30:36Z
format Article
id doaj.art-522f78809ba542309ab8830405f6a981
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-04-10T20:30:36Z
publishDate 2019-03-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-522f78809ba542309ab8830405f6a9812023-01-25T06:58:27ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792019-03-01281706473Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical TrialMasoud Fallahi0HasanAli Karimpour1Javad AminiSaman2Saeed Mohammadi3Azam Sharifi4Alireza Jahanbakhsh5Masoud Modarresi6Maryam Mirzaei7Rasol Kawyannejad8 MSc in Nursing, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran 2 Assistant Professor, Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran 2 Assistant Professor, Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Assistant Professor, Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran MSc in Anesthesiology, Department of Nursing, Nahavand School of Allied Medical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran and PhD Student inNursing, Department of Nursing, University of Social Welfare Rehabilitation Sciences, Tehran, Iran Assosiate Professor, Department of Infectious Diseases, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Assistant Professor, Department of Pharmacognosy and Pharmaceutical Biotechnology, School of Pharmacy, Kermanshah University of Medical Sciences, Kermanshah, Iran MSc in Epidemiology, Research Assistant, Department of Anesthesiology, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran Anesthesiology Instructor, Department of Anesthesiology, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran Background and purpose: Ventilator-associated pneumonia is a common, serious and costly disorder in intensive care units (ICUs) that rank first in hospital infections. So, appropriate interventions are needed to prevent this condition. Eucalyptus is a plant with antibiotic properties, therefore, current study aimed at investigating its effects on prevention of endotracheal tube-associated pneumonia in ICU. Materials and methods: A double-blind clinical trial was performed in 100 patients with endotracheal tube and on ventilator in ICU in Kermanshah Imam Reza Hospital, Iran. The patients were divided into two groups. In intervention group (n=50) 4 cc of 2% eucalyptus solution was mixed with 6 cc distilled water and in control group (n=50) 10 cc distilled water was given three times daily through a nebulizer kit connected to mechanical ventilation devices. Data on the rate of early and late pneumonia were compared based on CPIS criteria applying t-test and Chi-square. Results: The incidence of early and late pneumonia was lower in intervention group compared to that of the controls. The decrease was significantly more in onset of late pneumonia (P=0.01). The onset of pneumonia due to mechanical ventilation was significantly higher in intervention group than that of the control group (P=0.01). Conclusion: Eucalyptus was found to be an effective prophylaxis that could delay the development of pulmonary infection in patients on ventilation. Therefore, it is suggested in ICUs in patients with tracheal tubes.   (Clinical Trials Registry Number: IRCT2017010727819N2)http://jmums.mazums.ac.ir/article-1-11633-en.htmlpulmonary infectionmechanical ventilationeucalyptusintensive care unit
spellingShingle Masoud Fallahi
HasanAli Karimpour
Javad AminiSaman
Saeed Mohammadi
Azam Sharifi
Alireza Jahanbakhsh
Masoud Modarresi
Maryam Mirzaei
Rasol Kawyannejad
Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
Journal of Mazandaran University of Medical Sciences
pulmonary infection
mechanical ventilation
eucalyptus
intensive care unit
title Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
title_full Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
title_fullStr Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
title_full_unstemmed Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
title_short Effect of Eucalyptus Incense on Prevention of Early and Late Ventilator-associated Pneumonia: A Randomized Controlled Double-blinded Clinical Trial
title_sort effect of eucalyptus incense on prevention of early and late ventilator associated pneumonia a randomized controlled double blinded clinical trial
topic pulmonary infection
mechanical ventilation
eucalyptus
intensive care unit
url http://jmums.mazums.ac.ir/article-1-11633-en.html
work_keys_str_mv AT masoudfallahi effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT hasanalikarimpour effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT javadaminisaman effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT saeedmohammadi effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT azamsharifi effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT alirezajahanbakhsh effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT masoudmodarresi effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT maryammirzaei effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial
AT rasolkawyannejad effectofeucalyptusincenseonpreventionofearlyandlateventilatorassociatedpneumoniaarandomizedcontrolleddoubleblindedclinicaltrial