Keywords
Oral hygiene
Pediatric hospital
Health professionals
Intensive Care Units
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Abstract
Objective: To assess ICU professionals' adherence to the oral preventive measures protocol in a paediatric hospital. Methods: Prospective cohort in which 152 children were submitted to the protocol. The variables were: gender, age group, origin, diagnosis, outcome, adherence to the protocol and oral lesions. The application of the protocol at patient admission and discharge was recorded in a questionnaire. Results: The majority of patients were male (61.2 %). The predominant age group was under 1 year old (43.4%). 90.6% had used mechanical ventilation. Adherence to the protocol was higher when patients left the hospital compared to when they were admitted (p=0.001). Clinical improvement was observed in periodontal changes, mucosal lesions and bleeding. Conclusion: This protocol contributes to the clinical improvement of oral lesions in hospitalised children. In addition, the presence of the dental surgeon in the ICU and the systematisation of the protocol proved to be essential elements in promoting staff adherence and motivation.
References
AMARAL SM, et al. Nosocomial pneumonia: importance of the oral environment. Jornal Brasileiro de Pneumologia, 2009; 35: 1116-1124.
ARAÚJO, et al. Perceptions and actions of oral care performed by nursing teams in intensive care units. Revista Brasileira de Terapia Intensiva, 2010; 21(1): 38-44.
BALLESTRERI R, et al. Oral health habits in children admitted to the Children's Hospital in the city of Chapecó, Santa Catarina, Brazil. Revista da Faculdade de Odontologia - UPF, 2016; 21(3): 300-305.
BLEVINS J. Status of oral health care in hospitalized children. American Journal of Maternal Child/Nursing, 2013; 38(2): 115–9.
BLUM DFC, et al. Influence of dentistry professionals and oral health assistance protocols on intensive care unit nursing staff. A survey study. Revista Brasileira de Terapia Intensiva, 2017; 29: 391–393.
BLUM DFC, et al. The practice of dentistry in intensive care units in Brazil. Revista Brasileira de Terapia Intensiva, 2018; 30(3): 327-332.
BRASIL. Projeto de lei nº 883, de 19 de fevereiro de 2019. 2019. Disponível em: https ://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra?codteor=1713237R. Acessado em 4 de outubro de 2023.
CARMO CN, et al. Associação entre material particulado de queimadas e doenças respiratórias na região sul da Amazônia brasileira. Revista Panamericana de Salud Pública, 2010; 27: 10-16.
COSTA DC, et al. Perfil de saúde bucal dos pacientes internados no Hospital Universitário Maria Aparecida Pedrossian, Campo Grande (MS). Archives Of Health Investigation, 2016; 5(2): 70-77.
GOMES SF e ESTEVES MCL. Role of the surgeon dentist in ICU: a new paradigm. Revista Brasileira de Odontologia, 2012; 69(1): 67-70.
LEVY-POLACK MP, et al. Incidence of oral complications and application of a preventive protocol in children with acute leukemia. Special Care in Dentistry, 1998; 18(5): 189–193.
LIMA MCPS, et al. Oral health status of children admitted to the Children’s Municipal Hospital of Imperatriz – Maranhão. Revista Brasileira de Odontologia, 2016; 73(1): 24-29.
LOSSO EM, et al. Severe early childhood caries: an integral approach. Jornal de Pediatria, 2009; 85: 295–300.
LUDOVICHETTI FS, et al. Preventive oral hygiene and ventilator-associated pneumonia in paediatric intensive care unit. European Journal of Paediatric Dentistry, 2022; 23: 298-302.
MATTEVI GS, et al. The Participation of the Dental Surgeon in the Multidisciplinary Health Team for Child Care in the Hospital Context. Ciência & Saúde Coletiva, 2011; 16: 4229-4236.
MIRANDA ALV e ROCHA, LA. Educação em saúde bucal para profissionais de saúde de uma Unidade de Terapia Intensiva Pediátrica. Revista Eletrônica Acervo Saúde, 2024; 24(8): 15028.
MORAIS TMND, et al. Importance of Dental Work in Patients under Intensive Care Unit. Revista Brasileira de Terapia Intensiva, 2006; 18: 412-417.
NEEDLEMAN I, et al. Is there an association between oral health and pneumonia or other respiratory diseases? Evidence-Based Dentistry, 2007; 8: 116–117.
NICOPOULOS M, et al. Oral health needs and barriers to dental care in hospitalized children. Special Care Dentist, 2007; 27: 206-211.
NOGUEIRA E, et al. Oral hygiene and pneumonia in children in intensive care units: a systematic review. Revista da Associacao Paulista de Cirurgiões Dentistas, 2015; 69: 14–21.
ORLANDINI GM e LAZZARI CM. Nursing staff's knowledge about oral care in critically ill patients. Revista Gaúcha de Enfermagem, 2012; 33(3): 34-41.
PINTO A, et al. Efficiency of different protocols for oral hygiene combined with the use of chlorhexidine in the prevention of ventilator-associated pneumonia. Jornal Basileiro de Pneumologia, 2021; 47(1): 20190286.
SOUSA TCM, et al. Doenças sensíveis ao clima no Brasil e no mundo: revisão sistemática. Revista Panamericana de Salud Pública, 2018; 42: 85.
TINANOFF N, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. International journal of paediatric dentistry, 2019; 29(3): 238-248.
WHO. WORLD HEALTH ORGANIZATION. Sugars and dental caries. Genebra, 2017.