Condition 1: ventilator-associated pneumonia Oral positive culture. Condition 2: Oral positive cultures. Pneumonia in diseases classified elsewhere
Conditions
Interventions
Intervention 1: Intervention group: Oral care in the intervention group is done using a toothbrush (two times a day every 12 hours) and will be done by the researcher within 5 days. Oral care interven
in the absence of medical blockage, the head is raised to 30 degrees, and if prevented, the patient is tucked in and behind the patient by the Pillow support and patient's head rotated to one side. Th
thus With toothbrush, the distance between the teeth and the gums will be cleaned and massageed from the top to the bottom of the tooth root to the tooth, as well as from the front to back and the sma
Sponsors
Zahedan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 65 years Having an oral endotraceal tube from the time of admission and admission to the intensive care unit during the study Lack of immunosuppressive disease Mental Health Check Score 10 and less Not having a history of herbal susceptibility (by taking a biography of the patient's companions) No admission to other sections before admission to the intensive care unit Not having hepatitis and HIV virus infection Not having history and symptoms of aspiration of gastric secretions Not having coagulation problems Not having an artificial denture Passed up to 24 hours after admission to the intensive care units Pregnancy of female patients Not having chronic lung problems (chronic obstructive pulmonary disease, lung cancer, trauma to the chest) Earn less than 5 points of the clinical scale of moderate ventilator pneumonia at the time of entering the study
Exclusion criteria
Exclusion criteria: dying patient Transferring the patient to other parts before the end of the study Any specific oral damage caused by intubation, airway, or any other physical factor after the start of the study. Exit the endotraceal tube for any reason Re-intubation of endotraceal or tracheostomy for any reason at the time of the study The Signs and symptoms of aspiration after the start of the study, according to patient records file The limitation of the technique and the risk of aspiration Patients with pneumonia 48 hours after the start of the study, according to the physician Removal of mechanical ventilation before 96 hours Hygiene oral assessment checklist score of 11 or more
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ventilator-associated pneumonia. Timepoint: Before the intervention and the fifth day of admission. Method of measurement: Modifier Clinical Pulmonary Infection Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Oral positive cultures. Timepoint: Before the intervention and the fifth day of admission. Method of measurement: The number of colonies after cultivation exceeds the threshold limit for diagnosis of pneumonia and equals 10 4 CFU / ML.;Oral hygiene. Timepoint: Before the intervention and the fifth day of admission. Method of measurement: Oral Health Checklist for Intubation Patients. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHaniye irani
Zahedan University of Medical Sciences
Outcome results
None listed