NCT00604916

Oral Care Protocol for Preventing Ventilator- Associated Pneumonia

The Effectiveness of an Oral Care Protocol in Preventing Ventilator- Associated Pneumonia for Intensive Care Unit Patient

• Status: Completed
• Phase: EARLY_Phase 1
• Study type: Interventional
• Enrollment: 53 (actual)
• Sponsor: Mackay Memorial Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The Nosocomial Pneumonia remains to be a major complication for patients who were incubated with ventilation. Most cases are attributed to increased bacteria flora in oropharyngeal secretion and aspiration of those organisms. Research indicates that the Gram-Negative Bacteria grows in upper air way and trachea rapidly during the initial 2-4 hospital days and the dental plague also increased dramatically at the first 5 days. About 50% cases with prolonged intubation experienced temporal swallowing disorders and majority of them recovered 7 days post weaning. Some evidence exist suggesting that oral care could reduce bacterial flora, prevent aspiration, and subsequently decrease the incidence of ventilation-associated pneumonia for this group of high risk patients. This study aims to evaluate the effectiveness of a standardized oral care protocol in improving oral hygiene and reducing the incidence of pneumonia on a sample of surgical patients at intensive care unit.

Conditions

• Pneumonia

Interventions

Type	Name	Description
OTHER	standardized oral care protocol - electronic toothbrush	a standardized 20-minute oral care protocol using an electronic toothbrush to clean and moisturize oral cavity twice daily.
OTHER	mimic protocol	a mimic 20-minute protocol involving moisturizing and attention control was performed for the same intervals.

Timeline

• Start date: 2007-03-01
• Primary completion: 2007-11-01
• Completion: 2008-01-01
• First posted: 2008-01-30
• Last updated: 2008-01-30