Densidade de incidência de pneumonia associada à ventilação mecânica em dois hospitais

Ventilator-associated pneumonia (VAP) is the main nosocomial infection in patients admitted to the intensive care unit. A strategy to avoid VAP are preventive measures (bundles), which are performed by intensive care professionals. One of the recommendations of the bundles is the oral hygiene protoc...

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Detalles Bibliográficos
Autores: Luiz Cláudio Gomes Barros, Mayssa Galvão Pimentel, Diego Figueiredo Nóbrega, Kevan Guilherme Nóbrega Barbosa, Sonia Maria Soares Ferreira, Vanessa de Carla Batista dos Santos, Camila Maria Beder Ribeiro Girish Panjwani
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:portugués
OAI Identifier:oai:repositorio.ufmg.br:1843/80468
Acceso en línea:https://doi.org/10.48017/dj.v8i1.2382
http://hdl.handle.net/1843/80468
Access Level:acceso abierto
Palabra clave:Cirurgião-dentista
Pneumonia associada à ventilação mecânica
Saúde bucal
Unidade de terapia intensiva
Saúde pública
Hospitais
Infecção hospitalar
Pneumonia
Cirurgiões-dentistas
Descripción
Sumario:Ventilator-associated pneumonia (VAP) is the main nosocomial infection in patients admitted to the intensive care unit. A strategy to avoid VAP are preventive measures (bundles), which are performed by intensive care professionals. One of the recommendations of the bundles is the oral hygiene protocol for the intubated patient, performed by the nursing technician, which can minimize the incidence of VAP in the ICUs, but which could be better performed by the insertion of the dentist (CD) in the team. The aim of the study was to compare the density of the incidence of VAP (AVIP) in the Intensive Care Units (ICUs) of two private hospitals, named A and B. In hospital A, patients were not followed up by a CD (group 1). In hospital B, there were two collections, one related to patients without CD follow-up (group 2), and another collection of patients who received dental care from a CD (group 3). The incidence densities in groups 1, 2 and 3 were respectively 13.76; 11.96 and 3.63. Although there was no statistical difference between the three groups (p = 0.33), group 3 of patients in hospital B had a considerably lower incidence. In conclusion, the groups with a lack of supervision of dentist in the ICU had the highest incidences of VAP. The group with the presence of a dentist for more. The present study points to the inclusion of the dentist within the medical-hospital care team, as it contributes to the control of infections and prevention of diseases that can have consequences on general health.