Examinando por Materia "Neumonía Viral"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of oral hygiene with Chlorhexidine in patients with endotracheal tubes for the prevention of ventilator-associated pneumonia
    (Universidad Privada Norbert Wiener, 2017-07-02) Flores LLorca, Susan Lizbeth; Herrera Montoya, Jonathan Ronald; Rivera Lozada de Bonilla, Oriana
    Objective: To evaluate the effectiveness of oral hygiene with chlorhexidine in patients with endotracheal tubes for the prevention of ventilator-associated pneumonia. Methodology: This is a systematic review, and the search was restricted to full-text articles obtained from the following databases: Pubmed, Medline, Cochrane, Scielo, Dialnet, and Google Scholar. These articles were critically assessed to identify their level of evidence. A total of 15 articles were included in the final selection, with 33.3% from Spain, 20% from Chile, and 46.7% from China, Belgium, the United States, Brazil, the United Kingdom, Iran, and India. The majority of studies included systematic reviews, clinical trials, and two meta-analyses. Results: Of the articles analyzed, 93% demonstrated that oral hygiene with chlorhexidine is effective in preventing ventilator-associated pneumonia, while 7% referred to a gap in knowledge due to a lack of existing studies proving its efficacy. The reviewed studies showed that oral hygiene with 0.12% chlorhexidine is more effective in preventing ventilator-associated pneumonia than other concentrations and is much more effective as an antimicrobial agent compared to other solutions such as Pérsica, matrix, sodium bicarbonate, and saline solution. 20% of the articles suggest that the frequency should be every 12 hours for at least 30 seconds, while 10% of the studies identified the need for oral hygiene 4 times a day. Conclusion: Oral hygiene with chlorhexidine is effective in preventing ventilator-associated pneumonia.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of the bundle approach in reducing ventilator-associated pneumonia in critical care patients
    (Universidad Privada Norbert Wiener, 2018-07-08) Chapa Bayona, Gloria; Gil Layza, Carlos Samuel; Glenni Garay, Zarely Zabeli
    Objective: To systematize the evidence on the effectiveness of the bundle to reduce ventilator-associated pneumonia in critically ill patients. Materials and Methods: Observational and retrospective systematic review, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of the published articles in the following databases: Epistemonikos, ScienceDirect, PubMed, Medigraphic, Scielo. Of the 10 articles systematically reviewed, 20% (n=2/10) are systematic reviews, 20% (n=2/10) are quasi-experimental, and 60% (n=6/10) are cohort studies. The studies are from the United States (20%), China (20%), Saudi Arabia (20%), followed by Canada (10%), Australia (10%), South Korea (10%), and Egypt (10%). Results: 100% (n=10/10) indicate that the bundle is effective in reducing ventilator-associated pneumonia in critically ill patients. Conclusion: The bundle is effective in reducing ventilator-associated pneumonia in critically ill patients.