Keywords
How to Cite
Abstract
Guiding and carrying out oral hygiene is the responsibility of the Nursing team. However, this assignment is neglected in the work routine of this professional, whether due to lack of knowledge, an overload of obligations, or the lack of a standard oral hygiene protocol implemented in institutions. The present work aims to review the literature on the level of knowledge of the Nursing team, which performs or supervises oral hygiene care in unstable and immunocompromised patients in the ICU. This is a narrative review of literature of an applied nature, with a qualitative, exploratory and bibliographic approach, in which works in Portuguese and English from the last 10 years (2013-2023) were selected. Searches for scientific articles, course completion work, dissertations and books were carried out online in the Pubmed and Virtual Health Library (VHL) databases. It was concluded that a search in the literature showed unsatisfactory or neglected oral hygiene practice by the nursing team who claimed to have low knowledge about oral health. These professionals know the importance of preventing systemic infections of oral origin, however, in their daily routine they devalue the maintenance of oral health, prioritizing other tasks.
References
AMARAL, C. O. F. do et al. Importância do cirurgião-dentista em Unidade de Terapia Intensiva: avaliação multidisciplinar. Revista da Associação Paulista de Cirurgiões Dentistas, v. 67, n. 2, p. 107-111, 2013.
AMIB. ASSOCIAÇÃO DE MEDICINA INTENSIVA BRASILEIRA. Recomendações para
higiene bucal do paciente adulto em UTI. São Paulo, 2014.
ABRÃO, M. Senado aprova atendimento odontológico a internados em hospitais. Agência Brasil, 2019.
AQUINO-MARTINEZ, R.; HERNÁNDEZ-VIGUERAS, S. Severe COVID-19 Lung Infection in Older People and Periodontitis. Journal of Clinical Medicine, v. 10, n. 2, p. 279, 2021.
BANSAL, M.; KHATRI, M.; TANEJA, V. Potential role of periodontal infection in respiratory diseases-a review. Journal of medicine and life, v. 6, n. 3, p. 244, 2013.
BULLOCK, J. D.; FLEISHMAN, J. A. Orbital cellulitis following dental extraction. Transactions of the American Ophthalmological Society, v. 82, p. 111, 1984.
CIANETTI, S. et al. Oral Health Knowledge Level of Nursing Staff Working in Semi- Intensive Heart Failure Units. Journal of Multidisciplinary Healthcare, v. 13, p. 165, 2020.
CILLO JR, J. E. The development of hospital dentistry in America--the first one hundred years (1850-1950). Journal of the history of dentistry, v. 44, n. 3, p. 105-109, 1996.
CHAN, Ee Yuee et al. Translating evidence into nursing practice: oral hygiene for care dependent adults. International Journal of Evidence‐Based Healthcare, v. 9, n. 2, p. 172-183, 2011.
CHOI, Ma-I. et al. The influence of professional oral hygiene care on reducing ventilator-associated pneumonia in trauma intensive care unit patients. British Dental Journal, v. 232, n. 4, p. 253-259, 2022.
CRUZ, M. K. da; MORAIS, T. M. N. de; TREVISANI, D. M. Avaliação clínica da cavidade bucal de pacientes internados em unidade de terapia intensiva de um hospital de emergência. Revista Brasileira de Terapia Intensiva, v. 26, n. 4, p. 379-383, 2014.
CONLEY, P. et al. Does an oral care protocol reduce VAP in patients with a tracheostomy?. Nursing2020, v. 43, n. 7, p. 18-23, 2013.
CFO. Presidente da República veta PLC 34/2013.2019.
DE OLIVEIRA, E. L. et al. Odontologia Hospitalar: Uma realidade na graduação. Revista Campo do Saber, v. 3, n. 2, 2018.
DOS SANTOS SOUSA, L. V.; PEREIRA, A. F. V.; SILVA, N. B. S. A atuação do cirurgião-dentista no atendimento hospitalar. Revista de Ciências da Saúde, v. 16, n. 1, 2014.
DOS SANTOS, T. B. et al. A inserção da Odontologia em Unidades de TerapiaIntensiva. Journal of Health Sciences, v. 19, n. 2, p. 83-88, 2017.
DALE, C. M. et al. Protocol for a multi-centered, stepped wedge, cluster randomized controlled trial of the de-adoption of oral chlorhexidine prophylaxis and implementation ofan oral care bundle for mechanically ventilated critically ill patients: the CHORAL study. Trials, v. 20, n. 1, p. 1-8, 2019.
DA SILVA RODRIGUES, S. et al. Knowledge, Attitude and Practice of the Nursing Team Regarding Oral Health Care in Intensive Care Units in a Reference Hospital of Recife, Brazil. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, v. 16, n. 1, 2016.
DE LACERDA VIDAL, C. F. et al. Impact of oral hygiene involving toothbrushing versus chlorhexidine in the prevention of ventilator-associated pneumonia: a randomized study. BMC infectious diseases, v. 17, n. 1, p. 1-9, 2017.
DIOGUARDI, M. et al. The role of periodontitis and periodontal bacteria in the onset and progression of Alzheimer's disease: a systematic review. Journal of clinical medicine, v. 9, n. 2, p. 495, 2020.
FIGUEIREDO, B. G. Barbeiros e cirurgiöes: atuaçäo dos práticos ao longo do século XIX. Hist. cienc. saude-Manguinhos, p. 277-91, 1999.
GODOI, A. P. T. de et al. Odontologia hospitalar no Brasil. Uma visão geral. Revista de Odontologia da UNESP, v. 38, n. 2, p. 105-109, 2013.
HARMON, J.; GRECH, C. Technical and contextual barriers to oral care: New insights from intensive care unit nurses and health care professionals. Australian Critical Care, v. 33, n. 1, p. 62-64, 2019.
HILLIER, B. et al. Preventing Ventilator Associated Pnemonia Through Oral care, Product Selection and Application Method. American Association of Critical Care Nurses, v. 24, n.1, p. 38-58, 2013.
KLOMPAS, M. et al. Reappraisal of routine oral care with chlorhexidine gluconate for patients receiving mechanical ventilation: systematic review and meta- analysis. JAMA internal medicine, v. 174, n. 5, p. 751-761, 2014.
KWAK, E-J. et al. Importance of oral health and dental treatment in organ transplant recipients. International Dental Journal, v. 70, n. 6, p. 477-481, 2020.
MULIM, N. Projeto de Lei Federal Nº 2776/2008.
MORAIS, Teresa Márcia; SILVA, Antonio. Fundamentos da Odontologia em ambientehospitalar/UTI. Elsevier Brasil, 2015.
MIRANDA, A. F. et al. Oral care practices for patients in Intensive Care Units: A pilot survey. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, v. 20, n. 5, p. 267, 2016.
MARINO, P. J. et al. Comparison of foam swabs and toothbrushes as oral hygiene interventions in mechanically ventilated patients: a randomised split mouth study. BMJ open respiratory research, v. 3, n. 1, p.150, 2016.
NOBUHARA, Hiroshi et al. Effect of perioperative oral management on the prevention of surgical site infection after colorectal cancer surgery: A multicenter retrospective analysis of 698 patients via analysis of covariance using propensity score. Medicine, v. 97, n. 40, 2018.
ORLANDINI, Gabrielli Mottes; LAZZARI, Carmen Maria. Conhecimento da equipe de enfermagem sobre higiene oral em pacientes criticamente enfermos. Revista Gaúcha de Enfermagem, v. 33, n. 3, p. 34-41, 2012.
PINHEIRO, S.; ALMEIDA, T. F. DE. A saúde bucal em pacientes de UTI. Revista Bahiana de Odontologia, p. 94–103, 2014.
STEINLE, Erika Caroline et al. The association of oral health with length of stay and mortality in the intensive care unit. Clinical Oral Investigations, p. 1-10, 2023.
SHETTY, Divya et al. Oral hygiene status of individuals with cardiovascular diseases and associated risk factors. Clinics and practice, v. 2, n. 4, 2012.
SINGH, Pallika et al. Efficacy of Oral Care Protocols in the Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Patients. Cureus, v. 14, n. 4, 2022.
SADDKI, N.; MOHAMAD SANI, F. E.; TIN‐OO, M. M. Oral care for intubated patients: a survey of intensive care unit nurses. Nursing in critical care, v. 22, n. 2, p. 89-98, 2017.
TESHOME, Amare; YITAYEH, Asmare. Relationship between periodontal disease and preterm low birth weight: systematic review. Pan African Medical Journal, v. 24, n. 1, 2016
VAN DE RIJT, L. JM et al. The influence of oral health factors on the quality of life in older people: a systematic review. The Gerontologist, v. 60, n. 5, p. e378-e394, 2020.
WAGNER, C. et al. Risk of stroke-associated pneumonia and oral hygiene. Cerebrovascular diseases, v. 41, n. 1-2, p. 35-39, 2016.
YUAN, A.; WOO, S.-B. Adverse drug events in the oral cavity. Oral surgery, oralmedicine, oral pathology and oral radiology, v. 119, n. 1, p. 35-47, 2015
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Ângelo Gaia Sousa, Antônio Fabrício Alves Ferreira, Bruna da Silva Firmino, José Ivo Antero Junior, Patrícia Raimunda Castelo Almeida, Giovanna Araújo da Silva, Marinilce Santos Costa