Higiene bucal com clorexidina na prevenção de pneumonia associada à ventilação mecânica: [revisão] / Oral hygiene with chlorhexidine in preventing pneumonia associated with mechanical ventilation: [review]
J. bras. pneumol
;
34(9): 707-714, set. 2008. ilus, tab
Article
in English, Portuguese
| LILACS
| ID: lil-495693
RESUMO
A pneumonia associada à ventilação mecânica (PAVM) é uma infecção freqüente nas unidades de terapia intensiva (UTI), e anti-sépticos bucais são utilizados preventivamente. Revisamos metanálises e ensaios clínicos randomizados indexados no Medical Literature Analysis and Retrieval System e Cumulative Index to Nursing and Allied Health Literature sobre o uso tópico da clorexidina na prevenção da PAVM. Oito publicações foram avaliadas. Em sete (87,5 por cento), a clorexidina diminuiu a colonização da orofaringe, e em quatro (50 por cento) houve redução de PAVM. A clorexidina parece diminuir a colonização, podendo reduzir a incidência da PAVM.
ABSTRACT
Ventilator-associated pneumonia (VAP) is a common infection in intensive care units (ICUs), and oral antiseptic is used as a preventive measure. We reviewed meta-analyses and randomized clinical trials indexed in the Medical Literature Analysis and Retrieval System and Cumulative Index to Nursing and Allied Health Literature databases regarding the topical use of chlorhexidine in the prevention of VAP. Eight publications were analyzed. In seven (87.5 percent) chlorhexidine diminished the colonization of the oropharynx, and in four (50 percent) there was a reduction of VAP. Chlorhexidine seems to reduce colonization, thus reducing the incidence of VAP.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Oral Hygiene
/
Respiration, Artificial
/
Chlorhexidine
/
Pneumonia, Ventilator-Associated
/
Anti-Infective Agents, Local
Type of study:
Controlled clinical trial
/
Risk factors
/
Systematic reviews
Limits:
Humans
Language:
English
/
Portuguese
Journal:
J. bras. pneumol
Journal subject:
Pulmonary Disease (Specialty)
Year:
2008
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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