Oral Care by Dental Professionals for Patients Undergoing Respiratory Care in the Intensive Care Unit of Tokushima University Hospital

DOI Web Site 2 Citations 19 References
  • YOKOYAMA Masaaki
    Dental Hygiene Section, Tokushima University Hospital:Oral Health Management Center, Tokushima University Hospital
  • YOSHIOKA Masami
    Dental Hygiene Section, Tokushima University Hospital:Oral Health Management Center, Tokushima University Hospital:The University of Tokushima School of Oral Health and Welfare
  • ABE Yoko
    Department of Pediatric Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School
  • FUJII Hiromi
    Division of Medical Technology, Tokushima University Hospital
  • MATSUMOTO Naoko
    The University of Tokushima School of Oral Health and Welfare
  • HOSHINO Yumi
    The University of Tokushima School of Oral Health and Welfare
  • SOGAWA Yuka
    Division of Medical Technology, Tokushima University Hospital
  • MASUGI Sachie
    Division of Medical Technology, Tokushima University Hospital
  • SAKAMOTO Harumi
    Division of Medical Technology, Tokushima University Hospital
  • HIROSE Kaoru
    Division of Medical Technology, Tokushima University Hospital
  • YOKOYAMA Nozomi
    Dental Hygiene Section, Tokushima University Hospital:Oral Health Management Center, Tokushima University Hospital
  • TAMATANI Kanako
    Dental Hygiene Section, Tokushima University Hospital:Oral Health Management Center, Tokushima University Hospital
  • HINODE Daisuke
    Dental Hygiene Section, Tokushima University Hospital:Oral Health Management Center, Tokushima University Hospital:The University of Tokushima School of Oral Health and Welfare

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Other Title
  • 徳島大学病院ICUにおける歯科専門職による口腔ケアの取り組み
  • トクシマ ダイガク ビョウイン ICU ニ オケル シカ センモンショク ニ ヨル コウクウ ケア ノ トリクミ

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Abstract

Intensive oral care during the perioperative period can reduce oral biofilm, which represents a risk factor for respiratory diseases such as aspiration and ventilator-associated pneumonia. The aim of this study was to establish a standardized procedure for oral care in order to reduce the risk of infectious disease complications in inpatients undergoing respiratory care in the Intensive Care Unit (ICU) of Tokushima University Hospital. In collaboration with nurses, professional oral care was provided once a day to inpatients at high risk of respiratory infections. At the initial oral examination, the majority of patients in the ICU had dry lips, and showed a tongue coating and the presence of oral debris (i.e., dental plaque and/or sputum) on tooth and oral mucosa surfaces. In addition, we sometimes observed ulcer formation in the oral mucosa as well as tooth mobility, which are conditions that ICU staff members should pay attention to when fixing the endotracheal tube. Our professional oral care procedure reduced oral debris, dry mouth, and oral malodor to some extent in the majority of ICU patients. Close cooperation between dental professionals, nurses, and medical doctors was promoted through this activity. In conclusion, the multi-professional team approach adopted in this study means that patients in the ICU can be provided with advanced oral care, and it may contribute to reduce the risk of infectious disease complications.

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