Oral biofilm and prevention of pneumonia associated with mechanical ventilation
Conditions
Interventions
The interventions will be performed in the dentate and edentate groups. In both groups there will be separation in intervention and control, being 15 per group.
Dentures (total of patients included, 3
Other
E06.761.726.794
Sponsors
Faculdade de Enfermagem da Universidade Federal de Goiás
Faculdade de Enfermagem da Universidade Federal de Goiás
Eligibility
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: age greater than 18 years; being intubated orally> 12 hours and intubated under mechanical ventilation
Exclusion criteria
Exclusion criteria: difficulty in opening the buccal cavity, periodontal tumor, allergic to oral chlorhexidine or topical gel
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of dental biofilm measured by the IHOS (simplified oral hygiene index), This index is used to estimate the improvement or worsening of oral hygiene after an intervention, scales of 0 to 1 correspond to satisfactory oral hygiene; from 1.1 to 2, regular; from 2.1 to 3, deficient and from 3.1 onwards, very poor oral hygiene;Reduction of plaque buildup on tongue evaluated by the Winkel method TCI (Simplified Oral Hygiene Index and the Tongue Coating Index ). For evaluation, the back of the tongue was divided into six areas (three posterior, three previous) and The tongue coating was evaluated in each part (0 = uncoated and 1 = coating), indicating that higher scores represent worse hygiene of the tongue.;To compare the cost-effectiveness of the medical cost of SUS (Sistema Único de Saude), between strategies in both groups, for each intervention and control. For this, a comparative analysis of costs and consequences will be carried out: the cost difference (incremental cost) is compared with the difference of consequences, in the form of ratio between the difference costs and the difference of consequences. THE ACE assumes a choice between interventions, assuming the resource shortage. In that case, the alternative that presents the (differential) cost-effectiveness more favorable (low) should, in general, be chosen. | — |
Secondary
| Measure | Time frame |
|---|---|
| eduction of pneumonia pneumonia associated with mechanical ventilation of the precocious type (48 to 96 hours). The diagnosis will be made according to ANVISA, is based on two or more thoracic radiographs with one of the following persistent, new or progressive results: - infiltrates on chest radiography, opacification, cavitation. And at least one of the signs and symptoms: Fever (temperature greater than 38 ° C), with no other associated cause; Leukopenia (less than 4000 cells / mm3 ) or leukocytosis (greater than 12,000 cells / mm 3 ); Change in level of consciousness, with no other apparent cause, in patients aged 70 years. And at least two of the signs and symptoms: the appearance of purulent secretion or change in secretion characteristics or increased respiratory secretion or increased need for aspiration; Gas exchange (desaturation, eg PaO2 / FiO2 <240) or oxygen supply or increase of ventilatory parameters); Auscultation with snoring or rales; Start or worsening of cough or dyspnoea or tachypnea | — |
Countries
Brazil
Contacts
Public ContactFernanda;Virginia Ferreira Gonçalves ;Brasil
Faculdade de Enfermagem da Universidade Federal de Goiás;Faculdade de Enfermagem da Universidade Federal de Goiás
Outcome results
None listed