Perception of professionals working in ICUS on the importance of oral health conducts
DOI:
https://doi.org/10.5335/rfo.v24i3.9452Keywords:
Dentistry, Intensive Care Unit, Oral hygieneAbstract
Introduction: The oral cavity consists of several microorganisms that favor the development of diseases when patients are immunosuppressed. Therefore, there is an interest in assessing the oral conditions of patients hospitalized in intensive care units (ICU). Objective: This study aims to assess the perception of professionals working in ICUs of the main hospitals of Cariri (Ceará, Brazil) on the importance of oral health conducts and the knowledge of professionals about the association of oral and general conditions of inpatients. It also analyzed the existence of oral hygiene protocols for ICU patients and justified whether dentists are important in such environment. Materials and method: The data was obtained with a cross-sectional research in which the instrument for assessing the respondents was a questionnaire consisting of eight multiple choice and seven discursive questions addressing contents related to the objectives of the
study. Results: The data analysis showed that oral hygiene is performed with antiseptics, and chlorhexidine
is the most used substance. The frequency of decontamination was performed at intervals of 6 and 12 hours. The tongue was cleaned using traction and gauze, and mucosa was not cleaned. The use of artificial saliva and the performance of training courses were not reported. Final considerations: This study concluded that many professionals fall short in oral hygiene, only considering the hospitalization condition of patients. Additionally, dentists are not yet included in the health teams working directly in intensive care units, which is one of the causes of deficiencies in such service.
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References
Intensive Care Unit as a way of prevention of nosocomial
infection - Sistematic Literature Review. Journal of Specialized
Nursing Care. 2009; 2(1): 01-04.
2. Amaral SM, Cortês AQ, Pires FR. Pneumonia Nosocomial:
importância do microambiente oral. J. Bras. Pneumol. 2009;
35: 1116-24.
3. Lages VA, Neto JMM, Mello PMVC, Mendez RF, Junior RRP.
O efeito do tempo de internação hospitalar sobre a saúde bucal.
Rev. Bras. Pesqui. Saúde. 2014; 16:30-8.
4. Amaral COF, Marques AJ, Bovolato MC, Parizi AGS, Oliveira
A, StraiotoFG. Importância do cirurgião-dentista em
Unidade de Terapia Intensiva: avaliação multidisciplinar.
Revista da Associação Paulista de Cirurgiões-Dentistas.
2013; 67:107-11.
5. Sousa LVS, Pereira AFV, Silva NBS. A atuação do cirurgião-
-dentista no atendimento hospitalar. Revista de Ciências da
Saúde. 2014; 16(1): 39-45.
6. Padovani MCRL. Protocolo de cuidados bucais na unidade de
tratamento intensivo (uti) neonatal. Rev Bras Pesq Saúde.
2012; 14(1): 71-80.
7. Lucas BB, Vieira Júnior JLR, Besegato JF, Caldarelli PG.
Ensino da Odontologia Hospitalar no Sul do Brasil. Revista
da ABENO. 2017; 17(2 ): 68-75.
8. Passeti LA, Carneiro Leão MT, Araki LT, Albuquerque AM,
Ramos TMB, Santos SF, et al. Odontologia hospitalar a importância
do cirurgião-dentista na unidade de terapia intensiva.
Rev Odontol (ATO) 2013; 13(4): 211-26
9. Mattevi GS, Figueiredo DR, Patrício ZM, Rath IB. A participação
do cirurgião-den- tista em equipe de saúde multidisciplinar
na atenção à saúde da criança no contex- to hospitalar.
Rev Ciên Saú Col 2011; 16(10): 4229-36.
10. Araújo RJG, Oliveira LCG, Hanna LMO, Corrêa AM, Carvalho
HV, Alvares NCF. Análise de percepções e ações de
cuidados bucais realizados por equipes de enfermagem em
unidades de tratamento intensivo. Rev Bras Ter Intensiva
2009; 21(1): 38-44
11. Belissimo-Rodrigues WT, Menegueti MG, Gaspar GG, Nicolini
EA, Auxiliadora-Matins M, Basile-Filho A. Effectiveness
of a dental care intervention in the prevention of lower respiratory
tract nosocomial infections among intensive care
patients: a randomized clinical trial. Infect Control Hosp
Epidemiol. 2014; 35:1342-8
12. Godoi APT, Francesco AR, Duarte A, Kemp APT, Silvia-Lovato
CH. Odontologia hospitalar no Brasil. Uma visão geral.
Rev Odontol UNESP. 2009; 38: 105-109.
13. Miranda AF, Montenegro FL. O cirurgião-dentista como parte
integrante de uma equipe multidisciplinar no atendimento
aos idosos. Rev Paul Odontol 2009; 31(3):15-19.
14. Fourrier F, Cau-Pottier E, Boutigny H, Roussel-Delvallez
M, Jourdain M, Chopin C. Effects of dental plaque antiseptic
decontamination on bacterial colonization and nosocomial
infections in critically ill patients. Intensive Care Med
2000;26(9):1239-47.
15. Viana RAPP, Whitaker IY. Enfermagem em terapia intensiva:
prática e vivências. Artmed; 2011. p.342-51.
16. Aranega AM, Bassi APF, Ponzoni D, Wayama MT, Esteves
JC, Junior IRG. Qual a importância da odontologia hospitalar.
Rev, Bras, Odontol, 2012; 69: 90-3.
17. Batista SA, Siqueira JSS, Alterações orais em pacientes internados
em unidades de terapia intensiva. Ver, Bras, Odontol,
2014; 71(2):156-9.
18. Matsuo K, Watanabe R, Kanamori D, Nakagawa K, Fujii W,
Urasaki Y, et al. Associations between oral complications
and days to death in palliative care patients. Support Care
Cancer, 2016; 24(1):157-61.
19. Feres M, Figueiredo LC. Da infecção focal à medicina periodontal.
Rev Periodontia 2007; 17(2):14-20.
20. Almeida PN, Cangussu PM, Araújo TD, Soares WD. Endocardite
bacteriana de origem bucal: revisão de literatura.
Revista Brasileira de Pesquisa em Ciências da Saúde. 2014;
1(1):08-11.
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