
Oral condition of critical patients and its correlation with ventilator-associated pneumonia: a pilot study
2013; UNIVERSIDADE EST.PAULISTA JÚLIO DE MESQUITA FILHO; Volume: 42; Issue: 3 Linguagem: Inglês
10.1590/s1807-25772013000300007
ISSN1808-6705
AutoresAndréa Carvalho De Marco, Camila Galvão Cardoso, Fernando Vinicius Cesar De Marco, Antônio Braulino de Melo Filho, Mauro Pedrine Santamaría, Maria Aparecida Neves Jardini,
Tópico(s)Oral microbiology and periodontitis research
ResumoINTRODUCTION: Literature has reported inadequate oral hygiene conditions in Intensive Care Unit (ICU) patients and the occurrence of Ventilator-associated pneumonia in about 9%-27% of all intubated patients. OBJECTIVE: The aim of this study was to evaluate ICU patient's oral conditions and correlate this with the presence of ventilator-associated pneumonia. MATERIAL AND METHOD: Twenty-three patients were categorized in the following way: with periodontal disease and ventilator-associated pneumonia, with periodontal disease and without ventilator-associated pneumonia, without periodontal disease and with ventilator-associated pneumonia, and with neither periodontal disease nor ventilator-associated pneumonia. The periodontal disease index, plaque index, and decay-missing-filled index were used in the assessment. RESULT: There was no statistically significant difference in the incidence of periodontal disease with respect to ventilator-associated pneumonia, but the number of teeth and surfaces with attachment loss above 4 mm was always greater in patients with ventilator-associated pneumonia. CONCLUSION: The extent of periodontal disease may contribute to the onset of ventilator-associated pneumonia. However, studies with a larger sample are needed to validate this relationship.
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