Oral hygiene for severe care: a literature review

Abstract

The efficacy and quality of oral hygiene are currently a major concern, especially in intensive care patients.

This literature review assessed the available data on oral hygiene in intensive care patients using various antiseptics, as well as the methods of their use.

The literature search was performed using databases Scopus, PubMed, Web of Science, eLIBRARY.RU, and Google Scholar. Original peer-reviewed research on the clinical efficacy of oral care published between 2000 and 2023 were analyzed. The studies assessed the efficacy of hydrogen peroxide (n=2, 10%), chlorhexidine (n=10, 50%), Povidone-Iodine (n=2, 10%), and herbal formulations (n=4, 20%).

According to the majority of studies, oral hygiene in intensive care patients reduces the incidence of ventilator-associated pneumonia, but has no effect on the duration of artificial ventilation or the mortality rate.

The study discovered the absence of a universal, effective protocol for oral hygiene in intensive care patients, as well as guidelines for the selection of antiseptics, their concentration, and application methods. This subject necessitates further research.

Keywords

oral hygiene / ventilator-associated pneumonia / oral health / artificial ventilation / severe patients

References

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