Manipal Journal of Nursing and Health Sciences


Background: Oral care for orally intubated patient is of paramount importance for various reasons such as to decrease the nosocomial infections, decrease in antibiotic days and length of stay in intensive care unit, reduce the cost of antibiotic use, and decrease the mortality. This review was aimed to identify the various interventions for oral care and its outcomes among orally intubated patients. Materials and methods: A systematic review was done between March and April 2014 by using the combination MeSH words and key words in two data bases such as PubMed and Ovid Medline. Articles published between 2005 and till date (April 2014) were included in the review. Initial search had total of 47 studies. After screening for abstract, relevancy and quality the final review included five articles. Results: In this review, three articles showed that the oral decontamination with Chlorhexidine digluconate was most effective in decreasing nosocomial infections, colonization of the bacteria, and decreasing the pneumonia. In two articles, there was no statistically significant difference in the development of ventilator associated pneumonia (VAP) with and without mechanical tooth brushing. Conclusion: Oral decontamination with Chlorhexidine is very much essential to prevent VAP, to decrease the length of stay in intensive care unit, reduce antibiotic requirement and decrease the mortality associated with oral intubation and mechanical ventilation.

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