Dental hygiene intervention to prevent nosocomial pneumonias

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Nosocomial and ventilator associated pneumonias that plague critically ill, elderly and long-term care residents could be reduced with effective oral hygiene practices facilitated collaboratively between nurses and dental hygienists. Background Nosocomial pneumonias, specifically aspiration pneumonias and ventilator-associated pneumonias in the elderly and infirm have become a major health care issue, The provision of oral care in hospital and hospital-like facilities presents challenges that can prevent patients from receiving optimal oral care One sequela can be aspiration pneumonia which ranks first in mortality and second in morbidity among all nosocomial infections. Since aspiration pneumonia is linked to the colonization of oral bacteria in dental plaque and biofilm, it is time to look for creative solutions to integrating the expertise of dental hygienists into health care teams in these institutional settings. Methods A comprehensive review of the literature was conducted regarding the etiology and prevalence of health care related pneumonias. Evidence describing the challenges and barriers that the nurses, nursing staff, and dental hygienists face in the provision of oral care in hospitals and long-term care facilities is provided. Intercollaborative solutions to providing optimal oral care in hospitals and long-term care facilities are suggested. Conclusion Dental hygienists have the expertise and practice experience to provide oral care in hospitals, long-term care and residential facilities. They can contribute to solving oral care challenges through intercollaboration with other health care team members. Yet, there are long-standing systemic barriers that must be addressed in order to provide this optimal care. Dental hygienists becoming better assimilated within the total health care team in hospital and residential facilities can positively impact the suffering, morbidity and mortality associated with aspiration pneumonias.

Original languageEnglish (US)
Pages (from-to)103-114
Number of pages12
JournalJournal of Evidence-Based Dental Practice
Volume14
Issue numberSUPPL.
DOIs
StatePublished - Jun 2014

Fingerprint

Oral Hygiene
Dental Hygienists
Pneumonia
Aspiration Pneumonia
Long-Term Care
Patient Care Team
Residential Facilities
Ventilator-Associated Pneumonia
Nurses
Morbidity
Delivery of Health Care
Dental Plaque
Plague
Mortality
Nursing Staff
Biofilms
Cross Infection
Psychological Stress
Critical Illness
Bacteria

Keywords

  • Dental hygiene, prevention
  • critically ill aspiration pneumonia
  • nosocomial infections
  • nursing home
  • ventilator associated pneumonia barriers to oral care

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Dental hygiene intervention to prevent nosocomial pneumonias. / Barnes, Caren M.

In: Journal of Evidence-Based Dental Practice, Vol. 14, No. SUPPL., 06.2014, p. 103-114.

Research output: Contribution to journalArticle

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