Assessment of the oral condition of patients on mechanical ventilation admitted to the Intensive Care Unit
DOI:
https://doi.org/10.33448/rsd-v10i6.15365Keywords:
Intensive Care Unit; Pathology; Respiration Artificial; Mouth; Dental plaque.Abstract
The aim of the present study was to clinically assess the dental condition of patients admitted to an Intensive Care Unit (ICU). This is an exploratory, descriptive and cross-sectional study with dental evaluation of 40 patients admitted to the General ICU of the Fundação de Beneficência Hospital Cirurgia based in Aracaju-SE. Data were collected from medical records regarding age, sex, deleterious habits and the causal factor of hospitalization. The analysis of the oral condition was classified in three categories: good, regular and bad. It was found that 67.50% of the patients were female. Regarding the medical condition of the individuals, it was observed that the most common factor was respiratory, reaching 32.50% of them, followed by sepsis and neurological factor, which correspond to 17.50% and 15.00% of patients, respectively. As for the distribution of dental conditions, it was observed that 65.00% had a regular condition, 27.50% of the patients had a good classification and 7.50% had a poor condition. Regarding the lingual coating index according to the area, it was seen that only 5.00% and 17.50% of the patients did not have coating, while 22.50% had up to 1/3 of the tongue, 32.50% up to 2 / 3 of the language and 22.50% more than 2/3 of the language. In relation to the index of lingual coating according to thickness, 20% of individuals had thin coating, while 47.50% and 32.50% presented with visible and non-visible lingual papillae, respectively. The results reveal that the majority of patients admitted to the ICU had a regular dental condition, and the most prevalent oral foci were toothless abscesses and oral candidiasis.
References
Referências Bibliográficas
Amaral, S. M., Cortês, A. Q., & Pires, F. R. (2009). Pneumonia nosocomial: importância do microambiente oral. J Bras Pneumol, 35(11), 1116-1124.
Araújo, L. J. S. (2015). Cuidados Periodontais nas Unidades de Terapia Intensiva com Pacientes Idosos. Anais CIEH, 2(1), ISSN 2318-0854.
Azizi, A., & Rezaee, M. (2012). Comparison of periodontal status in gingival oral lichen planus patients and healthy subjects. Dermatol Res Pract, (25), 561-622.
Baeder, F. M., Cabral, G., Prokopowitch, M. P., Arak, I., Duarte, A. T. I., & Santos, D. A. (2012). Condição Odontológica em Pacientes Internados em Unidade de Terapia Intensiva. Pesq Bras Odontoped Clin Integr, 12(4), 517-520.
Bezerra, T.P., Campêlo, C.S.P., Oliveira, A.F., Forte, C.P.F., Gomes, A.K.P., Silva, P.G.B., et al. (2020). Pneumonia and the role of dentistry on ICU Staff: 8-year analysis of health indicators. Brazilian Journal of Oral Sciences, 19, 1-8.
Cabov, T., Macan, D., Husedzinović, I., Skrlin-Subić, J., Bosnjak, D., Sestan-Crnek S., et al. (2010). The impact of oral health and 0.2% chlorhexidine oral gel on the prevalence of nosocomial infections in surgical intensive-care patients: a randomized placebo-controlled study. Wien Klin Wochenschr, 122(13-14), 397-404.
Celik, G.G., & Eser I. (2017). Examination of intensive care unit patients' oral health. International Journal of Nursing Practice, 1-9.
Cho, C. M., Hirsch, R., & Johnstone, S. (2005). General and oral health implications of cannabis use. Australian Dental Journal, 50(2), 70-74.
Cruz, M. K., Morais, T. M. N., & Trevisani, D. M. (2014). Avaliação clínica da cavidade bucal de pacientes internados em unidade de terapia intensiva de um hospital de emergência. Rev Bras Ter Intensiva, 26(4), 379-383.
Estrela, C. (Org.). (2018). Metodologia científica: ciência, ensino, pesquisa. (Scientific methodology: science, teaching research) (3rd Edition). Porto Alegre: Artes Médicas.
Ferraz, E. G., Silva, L. R., Sarmento, V. A., Campos, E. J., Oliveira, T. F. L. O., & Magalhães, J. C. (2014). Avaliação dos hábitos de higiene bucal em pacientes pediátricos obesos. Pediatria Moderna, 14(50), 69-74.
Gaetti-Jardim, E. C., Setti, J. S., Cheade, M. F. M., & Mendonça, J. C. G. (2013). Atenção odontológica a pacientes hospitalizados: revisão da literatura e proposta de protocolo de higiene oral. Rev Bras Ciência Saúde, 11.
Hunter, W. (1911). The role of sepsis and antisepsis in medicine. Lancet, 11, 79-86.
Kahn, S., Garcia, K. H., Júnior, J. G., Namen, F. M., Machado, W. A. S., Júnior, J. A. S., Sardenberg, E. M. S., & Egreja, A. M. (2008). Avaliação da existência de controle de infecção oral nos pacientes internados em hospitais do estado do Rio de Janeiro. Ciência & Saúde Coletiva, 13(6), 1825-1831.
Londe, L. P., Ferreira, J. A., Novaes, L. A. C. F., Barbosa, R. S., & Miranda, A. F. (2017). Pneumonia nosocomial e sua relação com a saúde bucal. Revista Ciências e Odontologia, 1(1), 24-28.
Marques, L. A. R. V., Lotif, M. A. L., Neto, E. M. R., Dantas, T. S., Soares, J. L., Melo, J. A., & Lobo, P. L. D. (2015). Abuso de drogas e suas consequências na saúde oral: uma revisão de literatura. Arquivo Brasileiro de Odontologia, 11(1).
Miranda, A. F. (2016). Oral Health and Care at Intensive Care Units. Journal of Nursing & Care, 5(1), 1-6.
Morais, T. M. N., Silva, A. S., Avis, A. L. R. O., Souza, P. H. R., Knobel, E., & Camargo, L. F. A. C. (2006). Importância da Atuação Odontológica em Pacientes Internados em Unidade de Terapia Intensiva. Revista Brasileira de Terapia Intensiva, 18(4).
Oliveira, L. C. B. S., Carneiro, P. P. M., Fischer, R. G., & Tinoco, B. E. M. (2007). A presença de patógenos respiratórios no biofilme bucal de pacientes com pneumonia nosocomial. Rev Bras Ter Intensiva, 19(4), 428-433.
Oliveira, T. F. L., Filho, I. S. G., Passos, J. S., Cruz, S. S., Oliveira, M. T., Trindade, S. C., Machado, A. S., Coelho, J. M. F., Santos, C. M. L., & Cerqueira, E. M. M. (2011). Fatores Associados à Pneumonia Nosocomial em Indivíduos Hospitalizados. Rev. Assoc. Med. Bras., 57(6).
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Scientific research methodology (1rd Edition). Santa Maria, RS: UFSM, NTE.
Roberts, N., & Moule P. (2015). Chlorhexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates. Nurs Crit Care, Bristol, 16(6), 295-302.
Saldanha, K. F. D., Costa, D. C., Pinto, S. F., & Gaetti-Jardim, E. C. (2015). Avaliação do índice de higiene oral do paciente crítico. Arch Health Invest, 4(6), 47-53, ISSN 2317-300.
Sannapieco, F. A. (2002). Relação entre Doença Periodontal e Doenças Respiratórias. Medicina Periodontal, 83-97.
São Paulo. (2012). Secretaria de Saúde. Manual de odontologia hospitalar. São Paulo: Grupo Técnico de Odontologia Hospitalar.
Schlesener, V. R. F., Rosa, U. D., & Raupp, S. M. M. (2012). O Cuidado com a Saúde Bucal de Pacientes em UTI. Cinergis, 13(1), 73-77.
Silva, I. V. S., Bernardo, N. M. X., Avelar, W. V., Vasconcelos, M. G., & Vasconcelos, R. G. (2017). A importância dos odontólogos na rede hospitalar: um enfoque sobre a unidade de terapia intensiva. Odontol. Clín.-Cient., 16(2), 79-84.
Velzen, S. K., Abraham-Inpiji, L., & Moorer, W. R. (1984). Plaque and systemic disease: a reappraisal of the focal infection concept. J. Clin. Periodont., 11, 209-220.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Yasmin Alves do Nascimento; Graziane Ribeiro Couto; Helga Lucy santos Feitosa de Melo; Mônica Christine Alves Cabral Cardoso; José Augusto Santos da Silva; Flaviani Alves Santana Alfano
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.
