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Br J Nurs. 2019 Jun 13;28(11):682-689. doi: 10.12968/bjon.2019.28.11.682.

Does oral care with chlorhexidine reduce ventilator-associated pneumonia in mechanically ventilated adults?

Author information

1
Nursing Sister, Neurosurgical Critical Care Ward L06/L07, Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds.
2
Lecturer, School of Nursing and Healthcare Leadership, Faculty of Health Studies, University of Bradford.

Abstract

Oral colonisation by pathogens contributes to contracting ventilator-associated pneumonia (VAP). The aim of this review was to determine whether the use of the antiseptic chlorhexidine in the intra-oral cavity reduced its incidence in the critically ill, mechanically ventilated adult. The findings from this review led to the conclusion that chlorhexidine reduced the occurrence of VAP. Although a recommendation to implement the use of intra-oral chlorhexidine for mechanically-ventilated patients within critical care can be made, further exploration into required frequency and method of administration would be beneficial to reduce unnecessary exposure and hinder pathogenic resistance.

KEYWORDS:

Adult; Chlorhexidine; Critical care; Oropharynx; Ventilator-associated pneumonia

PMID:
31188655
DOI:
10.12968/bjon.2019.28.11.682
[Indexed for MEDLINE]

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