مقایسه دهانشویه های گیاهی و کلرهگزیدین بر سلامت دهان و پیشگیری از پنومونی وابسته به ونتیلاتور در بیماران بستری در بخش مراقبت ویژه
کد: G-1178
نویسندگان: لیلا حسنقلی زاده ©, محمود بخشی ℗, شقایق تقی زاده
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Abstract Background Inadequate oral care in mechanically ventilated patients facilitates the accumulation of pathogenic bacteria in the oropharynx. These bacteria can migrate via the endotracheal tube to the lower respiratory tract, leading to ventilator-associated pneumonia (VAP). Although various interventions are employed to enhance oral health in these patients, their effectiveness remains inconsistent and subject to debate. Chlorhexidine is the most widely used antiseptic and the current gold standard for oral care in this context. However, its use is associated with adverse effects such as dry mouth, altered taste perception, an unpleasant aftertaste, and the disruption of normal oral flora. In response, herbal mouthwashes have gained attention as potential alternatives for improving oral hygiene and preventing pneumonia, particularly in mechanically ventilated patients. Methods This study was a narrative review that was performed during 2015-2024 through searching electronic databases (Pubmed, Science Direct, Google Scholar, and Scopus) with the keywords Ventilator Associated Pneumonia (VAP), Herbal, Chlorhexidine, Mouthwash, and Oral health. Result Of the 60 articles initially identified, 20 studies met the inclusion criteria for this review. All included studies were either randomized clinical trials or descriptive and prospective studies. The results suggest that routine oral care practices, including suctioning secretions, tooth brushing, and foam rinsing, contribute to improved oral hygiene. Additionally, as interest in complementary medicine continues to grow, herbal mouthwashes have emerged as promising alternatives to chlorhexidine, offering similar benefits with fewer side effects. Specifically, herbal mouthwashes containing hydroalcoholic extracts of Cyperus rotundus, Thymus vulgaris (thyme), Orthodontol mouthwash, peppermint, and basil demonstrated positive outcomes in maintaining oral health and preventing VAP. conculation Oral hygiene is a fundamental aspect of nursing care in intensive care units. Nurses and caregivers can use herbal mouthwashes to enhance patients' oral health and reduce the incidence of ventilator-associated pneumonia. Further research through large-scale clinical trials is recommended to establish definitive guidelines for the use of herbal mouthwashes in critical care settings. Key words: Ventilator Associated Pneumonia (VAP), Herbal, Chlorhexidine, Mouthwash, Oral health
کلمات کلیدی
Key words: Ventilator Associated Pneumonia (VAP), Herbal, Chlorhexidine, Mouthwash, Oral health
