Pre versus post application of a 0.12% chlorhexidine based oral hygiene protocol in an Egyptian pediatric intensive care unit: Practice and effects

IF 0.3 Q4 CRITICAL CARE MEDICINE Egyptian Journal of Critical Care Medicine Pub Date : 2017-12-01 DOI:10.1016/j.ejccm.2017.11.002

Mohamed Mustafa Gomaa, Yahya Wahba, Mohammed Attia El-Bayoumi

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引用次数: 2

Abstract

Background

The role of oral hygiene in the intensive care unit is indisputable. Several studies were carried out in different pediatric intensive care units using different oral hygiene regimes. Chlorhexidine preparations are widely used in oral care regimes.

Aim

This study was conducted in the pediatric intensive care unit of Children’s Hospital of Mansoura University, Egypt to unravel the effect of adoption of an oral hygiene protocol using 0.12% chlorhexidine solution on the outcome of mechanically ventilated patients.

Methods

The study comprised 50 patients admitted in the period from January 2013 to August 2016. The sample was analyzed as follow: intervention group (28 patients) and control group (22 patients). The intervention group received a 0.12% chlorhexidine based oral hygiene protocol while the control group received usual oral care without chlorhexidine. Mann-Whitney and Chi-square tests were used.

Results

Duration of mechanical ventilation and length of stay were significantly reduced in the intervention group (p =.003 and .007 respectively). Statistically insignificant difference in development of ventilation-associated pneumonia and mortality between both groups was shown (p = .068 and .208 respectively).

Conclusions

Adoption of a 0.12% chlorhexidine based oral hygiene regime was associated with improved outcome in pediatric intensive care unit.

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在埃及儿童重症监护室应用0.12%氯己定口腔卫生方案的前后对比:实践和效果

口腔卫生在重症监护病房中的作用是无可争辩的。在不同的儿科重症监护室进行了几项研究，使用了不同的口腔卫生制度。氯己定制剂广泛用于口腔护理方案。目的本研究在埃及曼苏拉大学儿童医院儿科重症监护室进行，探讨采用0.12%氯己定溶液口腔卫生方案对机械通气患者预后的影响。方法选取2013年1月至2016年8月收治的50例患者。样本分析如下:干预组28例，对照组22例。干预组给予以0.12%氯己定为基础的口腔卫生方案，对照组给予不含氯己定的常规口腔护理。采用Mann-Whitney检验和卡方检验。结果干预组患者机械通气时间和住院时间均显著缩短(p =。0.003和0.007)。两组呼吸相关肺炎的发生和死亡率差异无统计学意义(p = )。0.68和0.208)。结论采用0.12%氯己定为基础的口腔卫生方案可改善儿科重症监护病房的预后。

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来源期刊

Egyptian Journal of Critical Care Medicine

自引率

0.00%

发文量

审稿时长

42 weeks

期刊介绍： The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.