Oral care and bacteremia risk in mechanically ventilated adults

Objective Transient bacteremia occurs in healthy populations from toothbrushing. With the high incidence of bacteremia in the intensive care unit and toothbrushing as an oral care method, this study examined the incidence and clinical significance of transient bacteremia from toothbrushing in mechan...

Full description

Saved in:
Bibliographic Details
Published in:Heart & lung 2010-11, Vol.39 (6), p.S57-S65
Main Authors: Jones, Deborah J., PhD, RN, Munro, Cindy L., PhD, RN, ANP, FAAN, Grap, Mary Jo, PhD, RN, ACNP, FAAN, Kitten, Todd, PhD, Edmond, Michael, MD, MPH, MPA
Format: Article
Language:English
Subjects:
Adult
Bacteremia - epidemiology
Bacteremia - etiology
Bacterial Typing Techniques
Cardiovascular
Critical Care
Critical Illness - epidemiology
Critical Illness - therapy
Cross Infection - epidemiology
Diagnosis, Oral
Female
Humans
Infection Control
Intensive Care Units
Length of Stay
Male
Middle Aged
Mouth - microbiology
Oral Hygiene - adverse effects
Oral Hygiene - methods
Pulmonary/Respiratory
Quality Assurance, Health Care
Respiration, Artificial - adverse effects
Risk Factors
Time Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective Transient bacteremia occurs in healthy populations from toothbrushing. With the high incidence of bacteremia in the intensive care unit and toothbrushing as an oral care method, this study examined the incidence and clinical significance of transient bacteremia from toothbrushing in mechanically ventilated adults. Methods Prospective pre- and post-test with all subjects (N = 30) receiving a toothbrushing intervention twice per day (up to 48 hours). The planned microbial analysis used DNA typing to identify organisms from oral and blood cultures collected immediately before, 1 minute, and 30 minutes after the interventions. Results Seventeen percent of subjects had oral cultures that were positive for selected pathogens before the first toothbrushing intervention. None of the subjects had evidence of transient bacteremia by positive quantitative blood cultures before or after the toothbrushing interventions. Patient characteristics were not statistically significant predictors for systemic inflammatory response syndrome, length of hospital stay, or length of intubation. Conclusion The toothbrushing intervention did not induce transient bacteremia in this patient population.
ISSN:0147-9563
1527-3288
1527-3288
DOI:10.1016/j.hrtlng.2010.04.009