Mechanical Ventilation, Oral Care, Ventilation Acquired Pneumonia
Conditions
Keywords
VAP, Oral care, green tea, white tea, clorhexidine
Brief summary
This study was conducted to compare the effects of oral care performed using chlorhexidine (CHX), green tea, and white tea solutions on oral health, functional status, and the development of ventilator-associated pneumonia (VAP) in intensive care unit patients receiving mechanical ventilation (MV)
Detailed description
This prospective controlled interventional study included 63 mechanically ventilated adult intensive care unit patients. Participants were assigned to one of three oral care groups receiving chlorhexidine (CHX), green tea, or white tea according to the study protocol. Oral health was assessed using the Bedside Oral Examination (BOE) guide on days 1, 3, and 7. The primary objective was to compare the incidence of ventilator-associated pneumonia (VAP) among the study groups. Secondary outcomes included changes in oral health status and functional oral assessment during follow-up.
Interventions
oral care using clorhexidine solution, green tea and white tea
Participants received oral care using green tea according to the study protocol.
Participants received oral care using white tea according to the study protocol.
Sponsors
Study design
Intervention model description
Participants were assigned to one of three parallel intervention groups receiving chlorhexidine, green tea, or white tea oral care throughout the study period.
Eligibility
Inclusion criteria
1. Aged over 18 years 2. With no known allergies 3. Receiving invasive mechanical ventilator support 4. With a negative endotracheal aspirate culture on the day of ICU admission 5. Within the first 24 hours of mechanical ventilator support 6. Patients whose relatives agreed to participate in the study
Exclusion criteria
1. Patients with positive endotracheal aspirate cultures within the first 48 hours of intensive care admission, 2. Patients undergoing radiotherapy or chemotherapy, 3. Patients with contraindications for oral care, 4. Patients with a platelet count below 30,000/mm³, 5. Patients who cannot be positioned appropriately, 6. Patients with agitation severe enough to prevent the procedure from being performed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ventilator associated pneumonia devolopment | 7 days | Comparison of the incidence of ventilator-associated pneumonia among the chlorhexidine, green tea, and white tea oral care groups. |
Countries
Turkey (Türkiye)