• Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia
  • Yasmin Karbalaei Kamran,1,* Seyed Isaac Hasannezhad,2 mohammad mahdi aliabadi,3
    1. Tehran university of medical sciences
    2. Babol university of medical sciences
    3. Tehran university of medical sciences


  • Introduction: One of the vital problems in unit (intensive care units) is Lack of oral hygiene. as a result of poor oral hygiene directly will increase the danger of ventilator associated pneumonia (VAP). VAP is that the second most common healthcare facility infection and additionally is AN bronchopneumonia largely caused by bacterium that colonize the rima oris and dental plaque19. AN oral care intervention that specialize in removing the number of bacterial plaque and rising oral cleanliness among automatically vented patients ought to be often enforced to boost the oral health condition and probably forestall VAP development.
  • Methods: In the forthcoming systematic study, the required data were collected using keywords and citing valid databases such as: Scopus PubMed, Google Scholar and ProQuest. The statistical population of the study includes all studies conducted up to 2022 in the field of Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. After reviewing the relevant findings and evaluating the data quality, a total of 17 articles were analyzed.
  • Results: The most basic and economical methodology is Mechanical plaque management or Mechanical biofilm removal. In unit they use tiny and soft brushes. tiny for having the ability to succeed in posterior components of oral cavity and soft so as to reduce traumatization of soft tissues. Another physical method which is a smaller amount efficient in mechanical plaque control is victimization Foam swabs. generally, Foam swabs are referred to as another for toothbrush. Another useful method is tongue cleanup which reduces the entire variety of harmful microorganism. In general, any method during which harmful microorganisms will be physically destroyed is enclosed in our review list. There also are chemical strategies like using CHX (Chlorhexidine Mouthwash). Among the variability of artificial gargles within the market, antiseptic (CHX) is that the handiest anti-microbial. Experiments show that victimization the CHX when brushing will increase the potency of the method. Another sort of mouthwashes are Mouthwashes containing binary compound answer of metal bicarbonate cut back secretion consistence and so make removal of fabric alba easier. Some folks use Oxidizing antiseptic as a mouthwash in concentrations of 1%-3%Due to its irritating effect, protocol is increasingly emphasized. One of the impactive factors within the field of VAP sickness is xerostomia. Dry mouth has been related to a coated tongue and VAP. thus it's necessary for us to search out the most effective ways that to unravel the matter of dry mouth and analyze them. Plain water is used for membrane dampening and symptomatic treatment of xerostomia. Also scouring with acid and glycerol answer stimulates salivation, thereby quickly relieving the symptoms of xerostomia.
  • Conclusion: VAP (ventilator-associated respiratory disease) is that the commonest kind of health facility pneumonia and a number one cause of morbidity and mortality notably among medical care unit (ICU) patients when knowing concerning this illness Our main goal was finding the ways in which of treatment or interference of VAP in every state of affairs and so comparing them to search out the simplest ones.
  • Keywords: immunoinformatics ، Coxiella burnetii Infection، Q Fever Vaccine ،multi-epitope vaccine