Oral care and the risk of bloodstream infections in mechanically ventilated adults

A review

Deborah Jones, Cindy L. Munro

Research output: Contribution to journalReview article

20 Citations (Scopus)

Abstract

Rationale: Bacteraemia, defined as the presence of viable bacteria in the circulating blood can result in bloodstream infection, which is one of the most frequent and challenging hospital-acquired infections. Bacteraemia occurs in healthy populations with manipulation of the oral mucosa, including toothbrushing. Oral care is commonly administered to mechanically ventilated patients, it is important to determine whether this practice contributes to the incidence of bacteraemia. This paper reviews the literature on the link between the manipulation of the oral cavity and the development of bacteraemia in mechanically ventilated adults. Methods: Searches were conducted using Medline, CINAHL, and the Cochrane Library databases. Article inclusion criteria were (1) a focus on mechanical ventilation and critical illness, (2) human subjects, (3) adult subjects, and (4) publication in English (or available English translation). Results: Nine articles met inclusion criteria and were critiqued. All relied upon clinical data as outcome measures; many were retrospective. The three organisms most often associated with nosocomial bloodstream infections were Staphylococcus aureus, coagulase negative staphylococci, and Enterococcus species. Establishing the origin of bacteraemia was problematic in most studies. Conclusions: Additional research is needed to understand the relationship of oral care practices to bacteraemia in mechanically ventilated adults.

Original languageEnglish (US)
Pages (from-to)152-161
Number of pages10
JournalIntensive and Critical Care Nursing
Volume24
Issue number3
DOIs
StatePublished - Jun 1 2008
Externally publishedYes

Fingerprint

Bacteremia
Infection
Cross Infection
Toothbrushing
Coagulase
Enterococcus
Mouth Mucosa
Staphylococcus
Artificial Respiration
Critical Illness
Libraries
Mouth
Staphylococcus aureus
Publications
Outcome Assessment (Health Care)
Databases
Bacteria
Incidence
Research
Population

Keywords

  • Bacteraemia
  • Bloodstream infections
  • Mechanical ventilation
  • Oral care

ASJC Scopus subject areas

  • Critical Care

Cite this

Oral care and the risk of bloodstream infections in mechanically ventilated adults : A review. / Jones, Deborah; Munro, Cindy L.

In: Intensive and Critical Care Nursing, Vol. 24, No. 3, 01.06.2008, p. 152-161.

Research output: Contribution to journalReview article

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