Evaluation of the Effects of Oronasal Versus Oral Disinfections with Chlorhexidine on Clinical Criteria of Ventilator-associated Pneumonia

سال انتشار: 1395
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 366

فایل این مقاله در 12 صفحه با فرمت PDF قابل دریافت می باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

JR_EBCJ-6-3_002

تاریخ نمایه سازی: 16 تیر 1398

چکیده مقاله:

Background: Ventilator-associated pneumonia (VAP) is the most prevalent and lethal form of nosocomial infections in the ICU and oral disinfection is a nursing measure to prevent this condition. Aim: this study aimed to evaluate the effect of oronasal versus oral disinfections with chlorhexidine on the clinical criteria for diagnosis of VAP. Method: This randomized clinical trial was conducted on 70 intubated ICU patients under mechanical ventilation at Shahid Kamyab Hospital of Mashhad, Iran in 2016. Samples were divided into two groups of intervention (mouthwash and disinfection of nostrils with 0.2% chlorhexidine every eight hours) and control (mouthwash). Clinical criteria for VAP, including pulmonary infiltration, rectal temperature, white blood cell (WBC) count and endotracheal discharge were recorded and compared between the two groups from days 1-6. Data analysis was performed in SPSS version 11.5 using Chi-square test. Results: In this study, mean age of intervention and control groups was 44.3±19.9 and 45.9±18.2 years, respectively. The results of Chi-square test indicated no significant difference between the groups regarding rectal temperature (P=0.22), WBC count (P=0.33), purulent endotracheal discharge (P= 0.47), pulmonary infiltration (P=0.21) and incidence of VAP (P=0.21). Implications for Practice: According to the results of this study, no statistically significant difference was observed between the two groups regarding clinical criteria and the incidence of VAP despite clinical differences. Therefore, it is recommended that further studies be conducted in this area.

نویسندگان

Mahdi Alimi

MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Zahra Sadat Manzari

Assistant Professor, PhD of Nursing, Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Seyed reza Mazlom

Evidence Based Care Research Centre, Instructor of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Ahmad Bagheri Moghadam

Assistant Professor, Department of Anaesthesiology and Critical Care, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

مراجع و منابع این مقاله:

لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :
  • Sabery M, Shiri H, Taghadosi M, Gilasi HR, Khamechian M. ...
  • 2   Macht M, Robinson JC, Graham BB. Updated Approach for ...
  • 3   Kalanuria AA, Zai W, Mirski M. Ventilator-associated Pneumonia in ...
  • 4   Klompas M, Branson R, Eichenwald EC, Greene LR, Howell ...
  • 5   Rocha LA, Ribas RM, Da Costa Darini AL, Gontijo ...
  • 6   Ranjbar H, Jafari S, Kamrani F, Alavi Majd H, ...
  • 7   Tan J, Guzman-Banzon A, Ayuyao F, De Guia T. ...
  • 8   Cook DJ, Walter SD, Cook RJ, Griffith LE, Guyatt ...
  • 9   Wei L, Qin G, Yang X, Hu M, Jiang ...
  • 10 Nardi G, Di Silvestre A, De Monte A, Massarutti ...
  • 11 Camus C, Sebille V, Legras A, Garo B, Renault ...
  • 12 Li W, Ma X, Peng Y, Cao J, Loo ...
  • Lemon KP, Klepac-Ceraj V, Schiffer HK, Brodie EL, Lynch SV, ...
  • 14            Fields LB. Oral Care Intervention to Reduce Incidence of ...
  • 15 SafarAbadi M, Ghaznavirad E. Comparing the Effect of Echinacea ...
  • 16 Dosher WB, Loomis EC, Richardson SL, Crowell JA, Waltman ...
  • 17 Özçaka Ö, Başoğlu Ö, Buduneli N, Taşbakan M, Bacakoğlu ...
  • 18 Lin Y, Xu L, Huang X, Jiang F, Li ...
  • 19 Koeman M, van der Ven AJ, Hak E, Joore ...
  • 20 Weinstein RA, Milstone AM, Passaretti CL, Perl TM. Chlorhexidine: ...
  • 21 Segers P, Speekenbrink RG, Ubbink DT, van Ogtrop ML, ...
  • 22 Abad C, Pulia M, Safdar N. Does the nose ...
  • 23 Nikbakht M, Rezazade B, Nagizadeh Baghi A, Gorbani F, ...
  • 24 Jansson M, Ala-Kokko T, Ylipalosaari P, Syrjälä H, Kyngäs ...
  • 25 Rea-Neto A, Youssef NCM, Tuche F, Brunkhorst F, Ranieri ...
  • 26 Rostami M, Mirmohammad Sadeghi M, Elahifar A, Akbari M. ...
  • 27 Seyedalshohadaee M, Rafii F, Faridian Arani F. Evaluating the ...
  • 28 Afkhamzadeh A, Lahoorpour F, Delpisheh A, Janmardi R. Incidence ...
  • 29 Safdar N, O Horo JC, Mak R, Medow J. ...
  • 30 Fàbregas N, Ewig S, Torres A, El-Ebiary M, Ramirez ...
  • 31 Fraser TG, Fatica C, Scarpelli M, Arroliga AC, Guzman ...
  • 32       Charles M, Kali A, Easow JM, Joseph NM, Ravishankar ...
  • نمایش کامل مراجع