We read with interest the review of Lombardo et al. assessing the impact of interventions to promote adherence to oral care protocols in intensive care units (ICUs).
The most effective approach could not be determined because of the great heterogeneity. The authors plea for applying effective implementation methods to increase the probability of stakeholder commitment. We welcome this call as we believe that achieving optimal provider compliance in oral care may be particularly challenging.
- Lombardo Lien
- Ferguson Caleb
- George Ajesh
- Villarosa Amy R.
- Villarosa Boaz J.
- Kong Ariana C.
- et al.
Interventions to promote oral care regimen adherence in the critical care setting: a systematic review.
Aust Crit Care. 2021; https://doi.org/10.1016/j.aucc.2021.08.010
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Australian Critical Care
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Interventions to promote oral care regimen adherence in the critical care setting: a systematic review.Aust Crit Care. 2021; https://doi.org/10.1016/j.aucc.2021.08.010
- Recommendation and protocol compliance: “Yes, I do” may not be true; the complexity of measuring provider adherence.Intensive Crit Care Nurs. 2020; 60: 102890https://doi.org/10.1016/j.iccn.2020.102890
- Oral care practices in intensive care units: a survey of 59 European ICUs.Intensive Care Med. 2007; 33: 1066-1070https://doi.org/10.1007/s00134-007-0605-3
- Contamination of antimicrobial-resistant bacteria on toothbrushes used with mechanically ventilated patients: a cross sectional study.Intensive Crit Care Nurs. 2021; : 103120https://doi.org/10.1016/j.iccn.2021.103120
- How to avoid microaspiration? A key element for the prevention of ventilator-associated pneumonia in intubated ICU patients.BMC Infect Dis. 2014; 14: 119https://doi.org/10.1186/1471-2334-14-119
- The risk of microaspiration during oral care in mechanically ventilated patients: a randomised cross-over study comparing two different suction protocols.Intensive Crit Care Nurs. 2021; 63: 102965https://doi.org/10.1016/j.iccn.2020.102965
- How to measure microaspiration of subglottic secretions in clinical research in intubated patients?.Intensive Crit Care Nurs. 2021; 63: 103010https://doi.org/10.1016/j.iccn.2020.103010
- Intensive care nurses fail to translate knowledge and skills into practice - a mixed methods study on perceptions of oral care.Intensive Crit Care Nurs. 2019; 52: 62https://doi.org/10.1016/j.iccn.2019.02.001
- Selective digestive or oropharyngeal decontamination and topical oropharyngeal chlorhexidine for prevention of death in general intensive care: systematic review and network meta-analysis.Bmj. 2014; 348 (g2197–7)
- Effects of chlorhexidine gluconate oral care on hospital mortality: a hospital-wide, observational cohort study.Intensive Care Med. 2018; 44: 1017-1026https://doi.org/10.1007/s00134-018-5171-3
- Multi-Center outcomes of chlorhexidine oral decontamination in intensive care units.Surg Infect (Larchmt). 2020; (sur.2019.172)
- Less daily oral hygiene is more in the ICU: yes.Intensive Care Med. 2020; 13 (665–3)
- Less daily oral hygiene is more in the ICU: not sure.Intensive Care Med. 2020; 11: 845https://doi.org/10.1007/s00134-020-06021-6
- Less daily oral hygiene is more in the ICU: no.Intensive Care Med. 2021; 47: 331-333https://doi.org/10.1007/s00134-021-06359-5
- Antiseptic mouthwash, the nitrate-nitrite-nitric oxide pathway, and hospital mortality: a hypothesis generating review.Intensive Care Med. 2021; 47: 28-38https://doi.org/10.1007/s00134-020-06276-z
- Effect of oral chlorhexidine de-adoption and implementation of an oral care bundle on mortality for mechanically ventilated patients in the intensive care unit (CHORAL): a multi-center stepped wedge cluster-randomized controlled trial.Intensive Care Med. 2021; 47: 1295-1302https://doi.org/10.1007/s00134-021-06475-2
Published online: December 31, 2021
Accepted: December 5, 2021
Received: November 29, 2021
© 2021 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.