https://doi.org/10.4081/scenario.2020.410
Igiene del cavo orale: è arrivata l’era post clorexidina?
Submitted: 9 April 2020
Accepted: 9 April 2020
Published: 9 April 2020
Accepted: 9 April 2020
Abstract Views: 1220
PDF (Italiano): 402
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Introduzione: L’igiene del cavo orale rappresenta uno dei pilastri all’interno dei “fundamental of careâ€, 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.
COMISSO I, LUCCHINI A, BAMBI S, GIUSTI GD, MANICI M. Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes. 2018, Springer, Switzerland. https://doi.org/10.1007/978-3-319-50559-6
KLOMPAS M. Oropharyngeal Decontamination with Antiseptics to Prevent Ventilator-Associated Pneumonia: Rethinking the Benefits of Chlorhexidine. Semin Respir Crit Care Med. 2017 Jun;38(3):381-390. doi: 10.1055/s-0037-1602584. Epub 2017 Jun 4.
MUNRO CL, GRAP MJ. Oral health and care in the intensive care unit: state of the science. Am J Crit Care. 2004;13(1):25-33
BERRY AM, DAVIDSON PM. Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit. Intensive Crit Care Nurs. 2006;22(6):318-28.
KLOMPAS M, BRANSON R, EICHENWALD EC, GREENE LR, HOWELL MD, LEE G, MAGILL SS, MARAGAKIS LL, PRIEBE GP, SPECK K, YOKOE DS, BERENHOLTZ SM; SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA (SHEA). Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014;35(8):915-36. doi: 10.1086/677144.
LI L, AI Z, LI L, ZHENG X, JIE L. Can routine oral care with antiseptics prevent ventilator-associated pneumonia in patients receiving mechanical ventilation? An update meta-analysis from 17 randomized controlled trials. Int J Clin Exp Med. 2015;8(2):1645-57.
ZHANG TT, TANG SS, FU LJ. The effectiveness of different concentrations of chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis. J Clin Nurs. 2014;23(11-12):1461-75. doi: 10.1111/jocn.12312. Epub 2013 Aug 19.
VILLAR CC, PANNUTI CM, NERY DM, MORILLO CM, CARMONA MJ, ROMITO GA. Effectiveness of Intraoral Chlorhexidine Protocols in the Prevention of Ventilator-Associated Pneumonia: Meta-Analysis and Systematic Review. Respir Care. 2016;61(9):1245-59. doi: 10.4187/respcare.04610.
HUA F, XIE H, WORTHINGTON HV, FURNESS S, ZHANG Q, LI C. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database Syst Rev 2016; 10: Art.No.:CD008367.DOI:10.1002/14651858.CD008367.pub3.
ZUCKERMAN LM. Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults: Review of the Current Literature. Dimens Crit Care Nurs. 2016;35(1):25-36. doi: 10.1097/DCC.0000000000000154.
PLANTINGA NL, WITTEKAMP BHJ, LELEU K, DEPUYDT P, VAN DEN ABEELE AM, BRUN-BUISSON C, BONTEN MJM. Oral mucosal adverse events with chlorhexidine 2% mouthwash in ICU. Intensive Care Med. 2016;42(4):620-621. doi: 10.1007/s00134-016-4217-7. Epub 2016 Feb 5.
RABELLO F, ARAÚJO VE, MAGALHÃES S. Effectiveness of oral chlorhexidine for the prevention of nosocomial pneumonia and ventilator-associated pneumonia in intensive care units: Overview of systematic reviews. Int J Dent Hyg. 2018;16(4):441-449. doi: 10.1111/idh.12336. Epub 2018 Feb 23.
SANDS KM, TWIGG JA, WISE MP. Oral hygiene with chlorhexidine in critically ill patients. JAMA Intern Med. 2015;175(2):316. doi: 10.1001/jamainternmed.2014.7174.
PRICE R, MACLENNAN G, GLEN J; SUDDICU COLLABORATION. Selective digestive or oropharyngeal decontamination and topical oropharyngeal chlorhexidine for prevention of death in general intensive care: systematic review and network meta-analysis. BMJ. 2014 Mar 31;348:g2197. doi: 10.1136/bmj.g2197.
KLOMPAS M, BERENHOLTZ SM. Oral hygiene with chlorhexidine in critically ill patients—reply. JAMA Intern Med. 2015;175(2):316-7. doi: 10.1001/jamainternmed.2014.7020.
DESCHEPPER M, WAEGEMAN W, EECKLOO K, VOGELAERS D, BLOT S. Effects of chlorhexidine gluconate oral care on hospital mortality: a hospital-wide, observational cohort study. Intensive Care Med. 2018;44(7):1017-1026. doi: 10.1007/s00134-018-5171-3.
LEE S, LIGHVAN NL, MCCREDIE V, PECHLIVANOGLOU P, KRAHN M, QUIÑONEZ C, AZARPAZHOOH. A Chlorhexidine-Related Mortality Rate in Critically Ill Subjects in Intensive Care Units: A Systematic Review and Meta-Analysis. Respir Care. 2019;64(3):337-349. doi: 10.4187/respcare.06434.
KLOMPAS M, LI L, KLEINMAN K, SZUMITA PM, MASSARO A. Associations Between Ventilator Bundle Components and Outcomes. JAMA Intern Med. 2016;176(9):1277-83. doi: 10.1001/jamainternmed.2016.2427.
RICARD JD, LISBOA T. Caution for chlorhexidine gluconate use for oral care: insufficient data. Intensive Care Med. 2018 Jul;44(7):1162-1164. doi: 10.1007/s00134-018-5217-6
KAMPF G. Acquired resistance to chlorhexidine - is it time to establish an 'antiseptic stewardship' initiative? J Hosp Infect. 2016 Nov;94(3):213-227. doi: 10.1016/j.jhin.2016.08.018.
SAFARABADI M, GHAZNAVI-RAD E, PAKNIYAT A, REZAIE K, JADIDI A. Comparing the Effect of Echinacea and Chlorhexidine Mouthwash on the Microbial Flora of Intubated Patients Admitted to the Intensive Care Unit. Iran J Nurs Midwifery Res. 2017;22(6):481-485. doi: 10.4103/ijnmr.IJNMR_92_16.
KLARIN B, ADOLFSSON A, TORSTENSSON A, LARSSON A. Can probiotics be an alternative to chlorhexidine for oral care in the mechanically ventilated patient? A multicentre, prospective, randomised controlled open trial. Crit Care. 2018 Oct 28;22(1):272. doi: 10.1186/s13054-018-2209-4.
MEIDANI M, KHORVASH F, ABBASI S, CHESHMAVAR M, TAVAKOLI H. Oropharyngeal Irrigation to Prevent Ventilator-Associated-Pneumonia: Comparing Potassium Permangenate with Chlorhexidine. Int J Prev Med. 2018;9:93. doi: 10.4103/ijpvm.IJPVM_370_17. eCollection 2018.
HELLYER TP, EWAN V, WILSON P, SIMPSON AJ. The Intensive Care Society recommended bundle of interventions for the prevention of ventilator-associated pneumonia. J Intensive Care Soc. 2016;17(3):238-243. doi: 10.1177/1751143716644461.
DE CAMARGO L, DA SILVA SN, CHAMBRONE L. Efficacy of toothbrushing procedures performed in intensive care units in reducing the risk of ventilator-associated pneumonia: A systematic review. J Periodontal Res. 2019 Jun 17. doi: 10.1111/jre.12668.
LUCCHINI A, BAMBI S, DE FELIPPIS C, GALAZZI A, ADDIS G, RONA R, GRASSELLI G, PESENTI A, FUMAGALLI R, FOTI G. Oral Care Protocols With Specialty Training Lead to Safe Oral Care Practices and Reduce Iatrogenic Bleeding in Extracorporeal Membrane Oxygenation Patients. Dimens Crit Care Nurs. 2018;37(6):285-293. doi: 10.1097/DCC.0000000000000321.
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How to Cite
Iozzo, P., Lucchini, A., Trevisan, M., Piemonte, G., Manici, M., Comisso, I., … Bambi, S. (2020). Igiene del cavo orale: è arrivata l’era post clorexidina?. Scenario® - Il Nursing Nella Sopravvivenza, 37(1), 18–22. https://doi.org/10.4081/scenario.2020.410
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