Evaluation of oral care in relation to Covid-19 in the ICU under the view of frontline professionals: main clinical findings and care protocols

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.41212

Keywords:

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.

Published

18/04/2023

How to Cite

CASTRO, F. L. A. de L. .; LOPES, L. C. .; TELLES, T. B. da S. .; SOUZA, A. F. de .; PEREIRA, H. O. .; KALLÁS, M. S. .; RESENDE, R. G. . Evaluation of oral care in relation to Covid-19 in the ICU under the view of frontline professionals: main clinical findings and care protocols. Research, Society and Development, [S. l.], v. 12, n. 4, p. e26812441212, 2023. DOI: 10.33448/rsd-v12i4.41212. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41212. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences