Verification of effective oral care in preventing Ventilator-Associated pneumonia in ICU patients -A comparative study of oral care in the practical guide to oral care and conventional oral care-

JRCT ID: jRCT1040210134

Registered date:21/01/2022

Basic Information

• Recruitment status: Recruiting
• Health condition(s) or Problem(s) studied: Diseases and conditions that have been determined to require the use of a ventilator
• Date of first enrollment: 21/01/2022
• Target sample size: 40
• Study type: Interventional

Intervention(s)

Oral care can be divided into two groups: the conventional oral care method that is widely used clinically (hereinafter referred to as the conventional method) and the method that follows the oral care guide presented in the "Practical Guide for Oral Care of Intubated Patients" (hereinafter referred to as the guide method).
(Tado et al., 2015), which is widely used clinically (hereinafter referred to as the conventional method), and the method that follows the oral care guide presented in the "Practical Guide for Oral Care of Intubated Patients" (hereinafter referred to as the guide method).
In each group, the following methods were used In each group, the researcher and research collaborators will perform oral care according to the following methods. Each method requires guidance and procedures by a dental surgeon before implementation.
In each group, the researcher and research collaborator will perform oral care using the following methods.
In both groups, the oral care products used will be those recommended by the dental surgeons of the research facilities.
In both methods, the cuff pressure of the tracheal intubation tube will be adjusted to 30 cmH2O, and the patient will be positioned in a side-lying or semi-farmer position.
For both methods, the cuff pressure of the endotracheal tube should be adjusted to 30 cmH2O, and the patient should be positioned in the side-lying or semifolar position.
The first oral care after admission to the ICU should be performed after the patient's general condition is judged to be stable.
1) Conventional method
Oral care for intubated patients should be performed according to the clinically accepted method.
For brushing, a toothbrush and a sponge brush infiltrated with tap water are used to brush the oral cavity. Contaminants are collected by suction using tap water
and collected by suction using tap water. Afterwards, moisturizer is applied to the mouth using a sponge brush. This should be done at each work shift.
Apply moisturizer to the mouth using a sponge brush. Daytime. (2) Guided method
(2) Guide method
A combination of "brushing care" and "maintenance care" is performed according to the guide. For brushing care, chlorhexidine gluconate should be used.
Brush the mouth and intubation tube with a sponge brush and a toothbrush infiltrated with mouthwash containing chlorhexidine gluconate (Concorpe F, Weltec).
Brush the mouth and intubation tube with a sponge brush and a toothbrush infiltrated with mouthwash containing chlorhexidine gluconate (Concor F, Welltec). Contaminants should be collected by aspiration with mouthwash. The sponge brush is then used to apply moisturizer to the mouth.
A moisturizer is then applied to the mouth using a sponge brush. For maintenance care, brush the mouth with a sponge brush infiltrated with mouthwash and then apply moisturizer.
Apply moisturizer. The frequency is 1 brushing and 3 maintenance care sessions at equal intervals of 6 hours.

Outcome(s)

Primary Outcome

1) Identification and number of opportunistic infectious bacteria
2) Adenosine triphosphate (ATP) level
3) Wetness of the oral cavity
4) Oral hygiene status

Key inclusion & exclusion criteria

• Age minimum: >= 20age old
• Age maximum: Not applicable
• Gender: Both

Include criteria

1. Patients aged 20 years or older.
2. Patients who have been on ventilator for more than 48 hours after oral tracheal intubation.
3. Patients whose consent for participation in this study has been obtained by signing a consent form by a substitute.

• Exclude criteria: Patients receiving oral care interventions by medical personnel from admission to tracheal intubation

Related Information

• Primary Sponsor: Wakisaka Hiroshi
• Source(s) of Monetary Support: Hamamatsu University School of Medicine
• Secondary ID(s): 2021-3-058