ORAL HEALTH STSTUS AND DEVELOPMENT OF VENTILATOR ASSOCIATED PNEUMONIA

Oral Health Status and Development of Ventilator Associated Pneumonia

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Table of Contents

Introduction .3

Ventilator Associated Pneumonia .3

Oral Healthcare and Critical Illness .4

Process of Care .5

Systematic Review .6

Use of prepared products with oral care practice .11

Education of health care providers .14

Implications .16 Conclusion .17 REFERENCES .18

Oral Health Status and Development of Ventilator Associated Pneumonia

Introduction

Ventilator

associated pneumonia is an infection that is caused by bacteria that

invade the lungs (Bonten et al , 2004 . These bacteria are found in the oral cavity of the mouth . The normal defense , such as coughing , against these bacteria is hindered due to the presence of the endotracheal tube The normal defense is also limited by the endotracheal tube because the airway is open to provide passage way for the endotracheal tube Bacteria from the mouth can remain on the balloon that holds the endotracheal tube in place . If the balloon is not fully inflated or gets moved , the bacteria on the cuff have a straight passage way into the patient 's lungs (CDC , 2008

Patients who require intubation during their hospital stay are at an increased risk

of developing pneumonia while on the ventilator (Fourrier et al , 2000 The Centers for

Disease Control and Prevention (CDC ) monitors the incidence of ventilator acquired

pneumonia . Ventilator acquired pneumonia (VAP ) occurs in a variety of intensive care

unit populations including coronary , trauma , medical , and surgical patients . For every...