Evaluation of oral care in relation to Covid-19 in the ICU under the view of frontline professionals: main clinical findings and care protocols
DOI:
https://doi.org/10.33448/rsd-v12i4.41212Keywords:
Intensive Care Units; Dentistry; Dental care; Covid-19.Abstract
The pandemic caused by the new Coronavirus (Covid-19) has been a great challenge. The presence of the Dental Surgeon (DS) in hospitals became evident. In this scenario, the study aimed to evaluate the oral care protocols during the Covid-19 pandemic in the Intensive Care Units (ICUs) of a hospital in Belo Horizonte, Minas Gerais, under the eyes of professionals in the field. This is a descriptive observational study involving the application of a questionnaire to the DS professionals and the others that compose the multidisciplinary team that work in the ICUs of the hospital from October 2021 to March 2022. The results showed a total of 153 professionals who responded to the survey being 70% female. More than 2/3 of the professionals received training to assess oral health conditions in patients hospitalized. The oral hygiene protocol used was mechanical removal of the biofilm associated with the use of 0.12% chlorhexidine digluconate. The most prevalent oral health conditions were halitosis and trauma to the lips due to prolonged use of the mechanical ventilation tube. It was observed that most professionals felt prepared to care for patients with a confirmed diagnosis of Covid-19. Even during the pandemic, the service remained attentive to care and biosafety protocols, there was a change in the oral hygiene protocol and the team was trained and adhered to the new approaches for critically ill patients affected by the new coronavirus. In addition, it was concluded that the intensive care dentist is extremely important in the multidisciplinary team.
References
American Dental Association – ADA (2020). ADA recommending dentists postpone elective procedures. https://www.ada.org/publications/ada-news
ANVISA. Nota Técnica GVIMS/ GGTES/ ANVISA Nº 07/2020. (2020). Orientações para prevenção e vigilância epidemiológica das infecções por SARS-Cov-2 (COVID-19) dentro dos serviços de saúde. https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/2020/nota-tecnica-no-07-de-2020/view
Conselho Federal de Odontologia. (2020) - Profissionais e entidades cadastradas. http://website.cfo.org.br/profissionais-cadastrados
Centers for Disease Control and Prevention (CDC). (2020). COVID-19 Mask Guidelines Revised — Again. https://www.yalemedicine.org/news/cdc-mask-guidance
Dantas, B. O., Araújo, I. A., Araújo, H. B. N. & Araújo, E. C. B. (2015). Saúde bucal e cuidados na unidade de terapia intensiva. Revista odontol planal cent., 5(1), 28-32.
Franco J. B., Ribas, P. S., Júnior, L. A. S. V., Matias, D. T., Varotto, B. L. R., Hamsa, C. R., Araújo, J. F. & Peres, M. P. S. M. (2020) Hospital dentistry and dental care for patients with special needs: dental approach during COVID-19 pandemic. Brazilian Dental Science, 23(2), 1-9.
Gomes A. V. S. F., et al. (2021). A importância do Cirurgião-Dentista na UTI de COVID-19. Research, Society and Development, 10(10).
Guedes, I. L., Mesquita, L. A., Oliveira, R. P., Oliveira, B. P. S., Barros, S. A. L. & Gonçalves, N. K. S. B. (2021). Assitência odontológica em unidade de terapia intensiva: uma visão da equipe hospitalar. Facit business and technology journal, 1(27), 139-153.
Hamsom J. et al. (2018). Impact of the introduction of na endotracheal tube attachment device on the incidence and severity of oral pressure injuries in the intensive care unit: a retrospective observational study. BMC Nursing, 17(4), 1-8.
Haresaku, S., Aoki, H., Kubota, K., Nakashima, F., Uchida, S., Jinnouchi, A. & Naito, T. (2022). Nurse’s perceptions of oral health care provision after the COVID-19 lockdown. International Dental Journal, 72, 242-248.
Horta, R. L., et al. (2021). “Pegar” ou “passar”: medos entre profissionais da linha de frente da COVID-19. J Bras Psiquiatr.,71(1), 24-31.
Jun, M. K. et al. (2021). Hospital dentistry for intensive care unit patients: a comprehensive review. Journal of Clinical Medicine, 10(3681), 1-13.
Kirk-Bailey, J., et al. (2021). The use of povidone iodine nasal spray and mouthwash during the current COVID-19 pandemic may reduce cross infection and protect healthcare workers. SSRN.
Li, Q., et al. (2020). Early transmission dynamics in wuhan, china, of novel coronavirus-infected pneumonia. N ENGL J MED, 382, 1199-1207.
Lu, C. W., Liu, X. F. & Jia, Z. F. (2020). 2019-nCoV transmission through the ocular surface must not be ignored. Lancet, 39(395).
Moraes R. R., et al. (2020). Email vs. Instagram recruitment strategies for online survey research. Brazil PLoS One, 15(11).
Morais, T. M. N, et al. (2006). A importância da atuação odontológica em pacientes internados em unidade de terapia intensiva. Revista brasileira de terapia intensiva, 18(4).
Michelon, C. M. Principais variantes do SARS-Cov-2 notificadas no Brasil. RBAC, 53(2), 109-116.
OMS, Organização Mundial De Saúde. (2021). Painel Coronavírus Brasil. Brasil. https://covid.saude.gov.br/
Ortega K. L., et al. (2021). Do hydrogen peroxide mouthwashes have a virucidal effect? A systematic review. Journal of Hospital Infection, 106, 657-662.
Recomendações, A. M. I. B., para atendimento odontológico Covid, C. F. O. Comitê de Odontologia AMIB/CFO de enfrentamento ao COVID-19 Departamento de Odontologia AMIB–2. Atualização 01/06/2020.
Reis, J. A. C., et al. (2021). Avaliação da condição bucal em centro de terapia intensiva de um Hospital Metropolitano de Belo Horizonte. Research, Society and Development, 10(11), 1-7.
Roberts, N. & Moule, P. (2011). Chlorohexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates. British Association of Critical Care Nurses, 16(6), 295-302.
Rocha, V. I. P., Silva, A. M. T. C. & Almeida, R. J. (2022). Avaliação dos níveis de letramento em saúde bucal de uma equipe multiprofissional hospitalar. Research, Society and Development, 11 (8), 1-17.
Santana E. A. S., et al. (2021). A relevância da atuação do cirurgião-dentista na uti frente a covid-19. Congresso Nacional de Inovações em Saúde.
Tshitenge, S. T. & Nthitu, J. M. (2022). COVID-19 frontline primary health care professionals’ perspectives on health system preparedness and response to the pandemic in the Mahalapye Health District, Botswana. African Journal of Primary Health Care and Family Medicine, 2071(2936), 1-6.
Werneck, G. L. & Carvalho, M. S. (2020). A pandemia de COVID-19 no Brasil: crônica de uma crise sanitária anunciada. Cadernos de Saúde Pública, 36(5).
Xu, J., Li, Y., Gan, F., Du, Y. & Yao, Y. (2020). Salivary glands: potential reservoirs for covid-19 asymptomatic infection. Journal of dental research, 99(8), 989-989.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fernanda Luiza Araújo de Lima Castro; Laura Cascão Lopes; Tatiana Bretas da Silva Telles; Alessandra Figueiredo de Souza; Hoberdan Oliveira Pereira; Monira Samaan Kallás; Renata Gonçalves Resende
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.