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| Name | Class |
|---|---|
| National Taiwan University | OTHER |
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The Nosocomial Pneumonia remains to be a major complication for patients who were incubated with ventilation. Most cases are attributed to increased bacteria flora in oropharyngeal secretion and aspiration of those organisms. Research indicates that the Gram-Negative Bacteria grows in upper air way and trachea rapidly during the initial 2-4 hospital days and the dental plague also increased dramatically at the first 5 days. About 50% cases with prolonged intubation experienced temporal swallowing disorders and majority of them recovered 7 days post weaning. Some evidence exist suggesting that oral care could reduce bacterial flora, prevent aspiration, and subsequently decrease the incidence of ventilation-associated pneumonia for this group of high risk patients.
This study aims to evaluate the effectiveness of a standardized oral care protocol in improving oral hygiene and reducing the incidence of pneumonia on a sample of surgical patients at intensive care unit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| E | Experimental | received a 7 day standardized oral care protocol |
|
| C | Placebo Comparator | received a 7 day mimic protocol |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| standardized oral care protocol - electronic toothbrush | Other | a standardized 20-minute oral care protocol using an electronic toothbrush to clean and moisturize oral cavity twice daily. |
| Measure | Description | Time Frame |
|---|---|---|
| the oral hygiene status measured by the oral assessment guide and plague index | every 3~4days |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of VAP defined by the Clinical Pulmonary Infection Score | a 7 day oral care protocol duration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| li-yin YAO, BSN | School of Nursing, National Taiwan University | Principal Investigator |
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| ID | Term |
|---|---|
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| mimic protocol | Other | a mimic 20-minute protocol involving moisturizing and attention control was performed for the same intervals. |
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