Oral care and bacteremia risk in mechanically ventilated adults

Deborah J Jones; Cindy L Munro; Mary Jo Grap; Todd Kitten; Michael Edmond

doi:10.1016/j.hrtlng.2010.04.009

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Oral care and bacteremia risk in mechanically ventilated adults

Journal article

Peer reviewed

Oral care and bacteremia risk in mechanically ventilated adults

Deborah J Jones, Cindy L Munro, Mary Jo Grap, Todd Kitten and Michael Edmond

Heart & lung : the journal of critical care, Vol.39(6 Suppl), pp.S57-S65

11/2010

DOI: 10.1016/j.hrtlng.2010.04.009

PMCID: PMC2995009

PMID: 20598375

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https://www.ncbi.nlm.nih.gov/pmc/articles/2995009View

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Abstract

Transient bacteremia occurs in healthy populations from toothbrushing. With the high incidence of bacteremia in the intensive care unit and toothbrushing as an oral care method, this study examined the incidence and clinical significance of transient bacteremia from toothbrushing in mechanically ventilated adults. Prospective pre- and post-test with all subjects (N = 30) receiving a toothbrushing intervention twice per day (up to 48 hours). The planned microbial analysis used DNA typing to identify organisms from oral and blood cultures collected immediately before, 1 minute, and 30 minutes after the interventions. Seventeen percent of subjects had oral cultures that were positive for selected pathogens before the first toothbrushing intervention. None of the subjects had evidence of transient bacteremia by positive quantitative blood cultures before or after the toothbrushing interventions. Patient characteristics were not statistically significant predictors for systemic inflammatory response syndrome, length of hospital stay, or length of intubation. The toothbrushing intervention did not induce transient bacteremia in this patient population.

Length of Stay

Intensive Care Units

Humans

Middle Aged

Risk Factors

Infection Control

Male

Diagnosis, Oral

Oral Hygiene - methods

Quality Assurance, Health Care

Critical Illness - epidemiology

Oral Hygiene - adverse effects

Mouth - microbiology

Respiration, Artificial - adverse effects

Time Factors

Bacterial Typing Techniques

Bacteremia - etiology

Critical Illness - therapy

Adult

Bacteremia - epidemiology

Female

Cross Infection - epidemiology

Details

Title: Subtitle: Oral care and bacteremia risk in mechanically ventilated adults
Creators: Deborah J Jones - University of Texas Health Science Center at Houston School of Nursing, Houston, Texas 77030, USA. deborah.j.jones@uth.tmc.edu
Cindy L Munro
Mary Jo Grap
Todd Kitten
Michael Edmond
Resource Type: Journal article
Publication Details: Heart & lung : the journal of critical care, Vol.39(6 Suppl), pp.S57-S65
DOI: 10.1016/j.hrtlng.2010.04.009
PMID: 20598375
PMCID: PMC2995009
NLM abbreviation: Heart Lung
ISSN: 0147-9563
eISSN: 1527-3288
Publisher: United States
Grant note: F31 NR009596 / NINR NIH HHS F31 NR009596-01A1 / NINR NIH HHS 1F31 NR009596 / NINR NIH HHS
Language: English
Date published: 11/2010
Academic Unit: Infectious Diseases; Internal Medicine
Record Identifier: 9983905521802771

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14 Times Cited - Web of Science