Examinando por Autor "Carbajal Quispe, Johana Mercedes"

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Acceso abierto
Effective oral hygiene for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Quispe, Johana Mercedes; Rubio Aguilar, Vianey; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize evidence on the effectiveness of oral care in preventing pneumonia in patients receiving mechanical ventilation. Materials and Methods: This is a systematic review of evidence on the effectiveness of oral care in preventing pneumonia in patients with mechanical ventilation. Among all the articles found, the most significant ones were included based on their level and quality of evidence, while less relevant ones were excluded. The databases used for the review were Scielo, Medplus, PubMed, and BVS. Results: A total of 10 articles were selected from different countries, with 50% (5) being systematic reviews, 20% (2) cohort studies, 20% (2) randomized controlled trials, and 10% (1) a meta-analysis. Of the articles analyzed, 70% (n=7/10) confirm that oral care using only oral solutions or mouthwashes, specifically chlorhexidine, is effective in preventing pneumonia in patients receiving mechanical ventilation. The remaining 30% (n=3/10) suggest that oral care is effective not only with chlorhexidine mouthwashes but also by adding other strategies and solutions to prevent pneumonia caused by mechanical ventilation. Conclusion: The reviewed studies are conclusive in stating that oral care for ICU patients on mechanical ventilation is effective in preventing pneumonia, particularly when using oral antiseptics such as 2% chlorhexidine. These measures should be included as part of the overall care for mechanically ventilated patients upon admission to prevent bacterial colonization that can lead to pneumonia.
Acceso abierto
Effective oral hygiene for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Quispe, Johana Mercedes; Rubio Aguilar, Vianey; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize evidence on the effectiveness of oral care in preventing pneumonia in patients receiving mechanical ventilation. Materials and Methods: This is a systematic review of evidence on the effectiveness of oral care in preventing pneumonia in patients with mechanical ventilation. Among all the articles found, the most significant ones were included based on their level and quality of evidence, while less relevant ones were excluded. The databases used for the review were Scielo, Medplus, PubMed, and BVS. Results: A total of 10 articles were selected from different countries, with 50% (5) being systematic reviews, 20% (2) cohort studies, 20% (2) randomized controlled trials, and 10% (1) a meta-analysis. Of the articles analyzed, 70% (n=7/10) confirm that oral care using only oral solutions or mouthwashes, specifically chlorhexidine, is effective in preventing pneumonia in patients receiving mechanical ventilation. The remaining 30% (n=3/10) suggest that oral care is effective not only with chlorhexidine mouthwashes but also by adding other strategies and solutions to prevent pneumonia caused by mechanical ventilation. Conclusion: The reviewed studies are conclusive in stating that oral care for ICU patients on mechanical ventilation is effective in preventing pneumonia, particularly when using oral antiseptics such as 2% chlorhexidine. These measures should be included as part of the overall care for mechanically ventilated patients upon admission to prevent bacterial colonization that can lead to pneumonia.