Igiene del cavo orale: è arrivata l’era post clorexidina?

Pasquale Iozzo, Alberto Lucchini, Monica Trevisan, Guya Piemonte, Matteo Manici, Irene Comisso, Filippo Marchese, Elisa Mattiussi, Stefano Elli, Cristian Fusi, Enrico Bulleri, Guglielmo Imbriaco, Alessandra Negro, Laura Rasero, Stefano Bambi

Abstract

Introduzione: L’igiene del cavo orale rappresenta uno dei pilastri all’interno dei “fundamental of care”, trovando nel paziente critico
con device endotracheale, in particolar modo quello ricoverato in terapia intensiva, una particolare ragion d’essere non soltanto nel
mantenimento del comfort, ma anche e soprattutto nella prevenzione delle polmoniti associate a ventilazione meccanica (VAP). La clorexidina
(CHX) collutorio o gel, usata in ambito odontoiatrico con ottimi risultati sull’abbattimento della placca batterica dentale, è diventata oggetto
di attenzioni della ricerca clinica.

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