The role of the Dental Surgeon in the prevention of ventilator-associated pneumonia

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32759

Keywords:

Dental surgeon; Hospital dentistry; Nosocomial pneumonia; Intensive Care Unit.

Abstract

Ventilator-associated pneumonia is at risk of developing with the use of mechanical ventilation, which extends the patient's hospital stay by approximately 5-9 days, in addition to increasing hospital costs. Regarding the etiopathogenesis of VAP, it is known that it occurs through the airways that are contaminated by oral pathogens, by inhalation or aspiration of saliva that is contaminated by bacterial enzymes and oral bacteria. The aim of the present study was to explain the importance of the dentist in the prevention of ventilator-associated pneumonia in the hospital environment and the clinical procedures used. The study was carried out through a literature review, through searches on PubMed, Scielo and Google Scholar, between the years 2017 to 2022, contributing to the construction of this review. In the research carried out in the databases, the descriptors were used, among which 681 articles were found, among them 575 in Google Scholar, 105 in PubMed and 1 in Scielo, finally, only 20 articles were included in the literature review. Thus, it has been proposed that the presence of a dentist, related to the use of chlorhexidine, can reduce the incidence of VAP. Therefore, the dentist is increasingly necessary in the hospital environment with the multidisciplinary team, especially in ICUs due to their important role in the treatment and maintenance of health in hospitalized patients.

References

Alecrim, R. X., Taminato, M., Belasco, A., Longo, M. C. B., Kusahara, D. M., & Fram, D. (2019). Strategies for preventing ventilator-associated pneumonia: an integrative review. Revista brasileira de enfermagem, 72, 521-530.

Barros, G. B. S., Gomes, I. R., da Silva, J. C., Reis, K. D., da Silva, L. C., Prado, S. V., & Silva, T. A. L. (2021). Atuação do cirurgião dentista na diminuição de casos de Pneumonia Nosocomial. RECIMA21-Revista Científica Multidisciplinar, 2(7), e27565-e27565.

Galhardo, L. F., Ruivo, G. F., Santos, F. O., Ferreira, T. T., Santos, J., Leão, M. V., & Pallos, D. (2020). Impact of oral care and antisepsis on the prevalence of ventilator-associated pneumonia. Oral Health Prev Dent, 18(1), 331-336.

Gonçalves, M. A.M, de Holanda, F. G. T., de Oliveira, M. A. C., & de Holanda, R. C. (2021). A importância da atuação do cirurgião-dentista na equipe multiprofissional em Unidades de Terapia Intensiva (uti): revisão de literatura. Revista Interdisciplinar em Saúde: 1094-1105.

Klompas, M. (2019, August). Prevention of intensive care unit-acquired pneumonia. In Seminars in respiratory and critical care medicine (Vol. 40, No. 04, pp. 548-557). Thieme Medical Publishers.

Kocaçal Güler, E., & Türk, G. (2019). Oral chlorhexidine against ventilator-associated pneumonia and microbial colonization in intensive care patients. Western Journal of Nursing Research, 41(6), 901-919.

Londe, L. P., Ferreira, J. Á., de Freitas Novaes, L. A. C., dos Santos Barbosa, R., & Miranda, A. F. (2017). Pneunomia Nosocominal e sua relação com a saúde bucal. Revista Ciências e Odontologia, 1(1), 24-28.

Porto, E. C., Machado, E. M. B. S., Reis, M. V. R., Medeiros, F. B., Cerqueira, J. D. M., Boas, A. D. M. V., & Pires, A. L. P. V. (2022). Importância do cirurgião-dentista na prevenção da pneumonia associada à ventilação mecânica: uma revisão de literatura integrativa. Diálogos & Ciência, 2(2), 9-21.

Marino, P. J., Wise, M. P., Smith, A., Marchesi, J. R., Riggio, M. P., Lewis, M. A., & Williams, D. W. (2017). Community analysis of dental plaque and endotracheal tube biofilms from mechanically ventilated patients. Journal of critical care, 39, 149-155.

Pinto, A. C. D. S., Silva, B. M. D., Santiago-Junior, J. F., & Sales-Peres, S. H. D. C. (2021). Eficiência de diferentes protocolos de higiene bucal associados ao uso de clorexidina na prevenção da pneumonia associada à ventilação mecânica. Jornal Brasileiro de Pneumologia, 47.

Santi, S. S., & Santos, R. B. (2016). A prevalência da pneumonia nosocomial e sua relação com a doença periodontal: revisão de literatura. Revista da Faculdade de Odontologia-UPF, 21(2).

Scanapieco, F. A. (2021). Poor Oral Health in the Etiology and Prevention of Aspiration Pneumonia, 65(2), 307-321.

Silva, P. U. J., Paranhos, L. R., Santos, D. M., Blumenberg, C., Macedo, D. R., & Cardoso, S. V. (2021). Combinação de escovação e clorexidina comparada ao uso exclusivo de clorexidina para reduzir o risco de pneumonia associada à ventilação mecânica: uma revisão sistemática com metanálise. Clínicas São Paulo.76: e2659.

Siddaway, A. P., Wood, A. M., & Hedges, L. V. (2019). Como fazer uma revisão sistemática: um guia de boas práticas para a realização e relatório de revisões narrativas, meta-análises e metasínteses. Revisão anual da psicologia, 70, 747-770.

Soussan, R., Schimpf, C., Pilmis, B., Degroote, T., Tran, M., Bruel, C., & RESIST Study Group. (2019). Ventilator-associated pneumonia: The central role of transcolonization. Journal of Critical Care, 50, 155-161.

Spezzia, S. (2019). Pneumonia nosocomial, biofilme dentário e doenças periodontais. Braz J Periodontol, 29(2), 65-72.

Vilela, M. C. N., Ferreira, G. Z., Santos, P. S. D. S., & Rezende, N. P. M. D. (2015). Cuidados bucais e pneumonia nosocomial: revisão sistemática. Einstein (São Paulo), 13, 290-296.

Wei, H. P., & Yang, K. (2019). Effects of different oral care scrubs on ventilator-associated pneumonia prevention for machinery ventilates patient: a protocol for systematic review, evidence mapping, and network meta-analysis. Medicine, 98(12).

Winning, L., Lundy, F. T., Blackwood, B., McAuley, D. F., & El Karim, I. (2021). Oral health care for the critically ill: a narrative review. Critical Care, 25(1), 1-8.

Zhao, T., Wu, X., Zhang, Q., Li, C., Worthington, H. V., & Hua, F. (2020). Cuidados de higiene bucal para pacientes gravemente doentes para prevenir pneumonia associada ao ventilador. Banco de Dados Cochrane de Revisões Sistemáticas, (12).

Downloads

Published

29/07/2022

How to Cite

COSTA, V. da C. de S.; GOMES, A. V. S. F. .; VASCONCELOS , M. A. C.; LEITE, M. C. da S. .; LIMA, M. A. dos S. .; FERRAZ, B. V. .; RODRIGUES, E. S. .; BRITO , K. S. .; CURY, M. F. M. . The role of the Dental Surgeon in the prevention of ventilator-associated pneumonia. Research, Society and Development, [S. l.], v. 11, n. 10, p. e247111032759, 2022. DOI: 10.33448/rsd-v11i10.32759. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32759. Acesso em: 23 nov. 2024.

Issue

Vol. 11 No. 10

Section

Health Sciences

License

Copyright (c) 2022 Vanessa da Costa de Souza Costa; Ana Viviam Souza Ferro Gomes; Marcos Altyeres Coelho Vasconcelos ; Mykaele Cristina da Silva Leite; Milena Andrade dos Santos Lima; Bruna Vale Ferraz; Edilane Sousa Rodrigues; Khemily Santos Brito ; Maria Fernanda Mendes Cury

Creative Commons License

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.