Commentary: Munro CLet al.(2006). Oral health status and development of ventilator-associated pneumonia: a descriptive study

2009 ◽  
Vol 14 (1) ◽  
pp. 38-39 ◽  
Author(s):  
Brian McFetridge
2006 ◽  
Vol 15 (5) ◽  
pp. 453-460 ◽  
Author(s):  
Cindy L. Munro ◽  
Mary Jo Grap ◽  
R.K. Elswick ◽  
Jessica McKinney ◽  
Curtis N. Sessler ◽  
...  

• Background Ventilator-associated pneumonia is a significant cause of morbidity and mortality and may be influenced by oral health. • Objective To describe the relationship between ventilator-associated pneumonia and oral health status, changes in oral health status during the first 7 days after intubation, and microbial colonization of the oropharynx and trachea. • Methods A total of 66 patients were enrolled within 24 hours of intubation and were followed up for up to 7 days. Data on oral health measures and the Clinical Pulmonary Infection Score (CPIS) were collected at baseline, day 4 (n = 37), and day 7 (n = 21). A regression model was used to predict risk of pneumonia at day 4. • ResultsDental plaque and oral organisms increased over time. Correlations were significant for baseline and day 4 dental plaque (P < .001), baseline salivary lactoferrin and day 4 plaque (P = .01), and lower salivary volume and higher day 4 CPIS (P = .02). Potential pathogens were identified in oral cultures for 6 patients before or at the same time as the appearance of the organisms in tracheal aspirates. Correlations were significant with day 4 CPIS for score on the Acute Physiology and Chronic Health Evaluation (APACHE) II (P = .007), day 4 salivary volume (P = .02), interaction of APACHE II score and day 1 CPIS (P<.001), and interaction of day 1 CPIS and plaque (P=.01). • Conclusions Higher dental plaque scores confer greater risk for ventilator-associated pneumonia, particularly for patients with greater severity of illness. Salivary volume and lactoferrin may affect the risk.


2017 ◽  
Vol 30 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Abdullah Haghighi ◽  
Vida Shafipour ◽  
Masoumeh Bagheri-Nesami ◽  
Afshin Gholipour Baradari ◽  
Jamshid Yazdani Charati

2018 ◽  
Vol 19 (5) ◽  
pp. 483-489 ◽  
Author(s):  
Giovanni D\'Alessandro ◽  
Tommaso Costi ◽  
Nadia Alkhamis ◽  
Simone Bagattoni ◽  
Agnese Sadotti ◽  
...  

Author(s):  
A Fernandez Gato ◽  
F Suarez Alen ◽  
A Gamallo Moure ◽  
G Arias Lopez ◽  
E Otero Rey ◽  
...  

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