Advertisement

Why to monitor adherence to oral care protocols in intensive care units?

  • Stijn Blot
    Correspondence
    Corresponding author at: Department of Internal Medicine and Pediatrics, Ghent University, Campus UZ Gent, Corneel Heymanslaan 10, 9000 Ghent, Belgium.
    Affiliations
    Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium
    Burns, Trauma and Critical Care Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia
    Search for articles by this author
  • Elena Conoscenti
    Affiliations
    Infectious Disease and Infection Control Service, ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Palermo, Italy
    Search for articles by this author
Published:December 31, 2021DOI:https://doi.org/10.1016/j.aucc.2021.12.002
      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).
      • 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.
      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.
      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
      Institutional Access: Sign in to ScienceDirect

      References

        • 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
        • Labeau S.O.
        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
        • Rello Jordi
        • Koulenti Despoina
        • Blot Stijn
        • Sierra Rafael
        • Diaz Emili
        • De Waele Jan J.
        • et al.
        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
        • Unahalekhaka Akeau
        • Butpan Pareeya
        • Wongsaen Ratchanee
        • Phunpae Ponrut
        • Preechasuth Kanya
        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
        • Blot Stijn I.
        • Poelaert Jan
        • Kollef Marin
        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
        • Griton Marion
        • Naud Natacha
        • Gruson Didier
        • Bedel Aurélie
        • Boyer Alexandre
        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
        • Nseir Saad
        • Koulenti Despoina
        • Blot Stijn
        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
        • Andersson Maria
        • Wilde-Larsson Bodil
        • Persenius Mona
        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
        • Price Richard
        • MacLennan Graeme
        • Glen John
        • SuDDICU Collaboration
        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)
        • Deschepper Mieke
        • Waegeman Willem
        • Eeckloo Kristof
        • Vogelaers Dirk
        • Blot Stijn
        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
        • Parreco Joshua
        • Soe-Lin Hahn
        • Byerly Saskya
        • Lu Ning
        • Ruiz Gabriel
        • Yeh D Dante
        • et al.
        Multi-Center outcomes of chlorhexidine oral decontamination in intensive care units.
        Surg Infect (Larchmt). 2020; (sur.2019.172)
        • Cuthbertson Brian H.
        • Dale Craig M.
        Less daily oral hygiene is more in the ICU: yes.
        Intensive Care Med. 2020; 13 (665–3)
        • Labeau S.O.
        • Conoscenti E.
        • Blot S.I.
        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
        • Wittekamp Bastiaan H.
        • Plantinga Nienke L.
        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
        • Blot Stijn
        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
        • Dale Craig M.
        • Rose Louise
        • Carbone Sarah
        • Pinto Ruxandra
        • Smith Orla M.
        • Burry Lisa
        • et al.
        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