engleski

Oral hygiene practice in Croatian intensive care units

Aim: Due to qualitative and quantitative changes of saliva, the lack of self-cleaning mechanisms and dysfunction of protective reflexes, critically ill patients can develop severe nosocomial infection known as VAP (Ventilator Associated Pneumonia). Appropriate oral hygiene in ICU (Intensive Care Unit) is crucial for prevention of VAP. Aim of this study was to assess the oral hygiene practice of ICU medical staff. Material and Methods: The study was conducted among ICU nursing staff by a survey containing questions divided into two groups: demographical data and oral hygiene practice. The study included 249 members of ICU nursing staff from 14 Croatian hospitals. Results: 94, 7% of respondents declared they were familiar with the VAP. Most frequently used oral hygiene agent is gauze soaked in paraffin oil (75, 1%). 63, 1% of respondents perform oral hygiene measures as recommended by American Association of Critical-Care Nurses (AACN) - brushing and rinsing with chlorhexidine. Most common factors that limit medical staff in the implementation of adequate oral hygiene are: lack of time (47, 1%), lack of staff (39, 6%) and the lack of resources (36, 6%). Conclusion: This study indicates diversity of ICU oral hygiene measures, as well as the relatively weak enforcement of preventive measures recommended by the AACN. Introduction of a standardized written protocol, improved education and increased number of ICU nurses provided with sufficient resources are

oral hygiene ; ICU medical staff ; Ventilator Associated Pneumonia

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