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Sedighi L, Khari S, Hasheminik M, Salimi Akinabadi A, Alipour H, Shafigh E, Shafigh N. The effect of artificial saliva on the control of dry mouth: a semi-experimental study on COVID-19 patients under Non-invasive mechanical ventilation. BMC Oral Health 2024; 24:643. [PMID: 38822326 PMCID: PMC11140887 DOI: 10.1186/s12903-024-04386-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 05/20/2024] [Indexed: 06/02/2024] Open
Abstract
OBJECTIVES Since maintaining oral hygiene is essential in nursing care, the present study was conducted to determine the effect of oral care using Mucosamin artificial saliva spray to control dry mouth in ICU patients with COVID-19. MATERIALS AND METHODS The current semi-experimental research was conducted on eighty patients with COVID-19 selected using the available sampling method. The study tool was a Beck oral assessment scale (BOAS). The case and control groups were selected from two hospitals with relatively similar conditions and treatment procedures. For patients in the intervention group, mucosamin artificial saliva spray was used in addition to the common care, while control group patients received only common care. RESULTS Eighty patients were randomly assigned to two groups named control and intervention (40 patients in each group). The intervention was very effective in reducing the BOAS score after four days in comparison with the control group (9.23 vs. 12.05, respectively; p-value < 0.001). Based on the adjusted model, the application of artificial saliva reduced the BOAS score, indicating improvement in mouth dryness. While the BOAS score was increased in the control group, it had a declining trend in the intervention one. CONCLUSION The study's results showed that using artificial saliva spray could effectively reduce the symptoms of dry mouth in patients with COVID-19 treated with non-invasive mechanical ventilation. CLINICAL RELEVANCE The present study introduced an applicable solution (artificial saliva) to treat mouth dryness in ICU patients under mechanical ventilation.
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Affiliation(s)
- Ladan Sedighi
- Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Clinical Research Development Center, Shahid Modarres Educational hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sorour Khari
- Master of Critical Care Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Morteza Hasheminik
- Department of Nursing, Sabzevar Branch, Islamic Azad University, Sabzevar, Iran
| | - Atefe Salimi Akinabadi
- Master of Medical Surgical Nursing, Clinical Research Development Center, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Haleh Alipour
- Department of Pediatric Pulmonology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Elnaz Shafigh
- Operative Dentistry Department, Faculty of Dentistry, AJA University of Medical Sciences, Tehran, Iran
| | - Navid Shafigh
- Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Dos Santos AA, Silva LDDA, Santos CCDO, Fonseca-Silva T. Oral care practices for patients in intensive care unit: A systematic review. Int J Dent Hyg 2024. [PMID: 38764150 DOI: 10.1111/idh.12822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 02/27/2024] [Accepted: 05/04/2024] [Indexed: 05/21/2024]
Abstract
OBJECTIVES To critically analyse and discuss oral hygiene protocols in the hospital environment in patients admitted to the ICU, through a systematic review of the literature. METHODS The electronic search was performed on Pubmed, Cochrane, Web of Science and Google Scholar databases. The indexing keywords according to the PRISMA protocol were: 'hospital dentistry', 'oral health', 'oral care' and 'intensive care unit'. RESULTS The initial search resulted in a total of 2671 articles. Pre-selection based on titles led to the exclusion of 2510 articles and the remaining 36 were selected for abstract reading. After analysing the eligibility of the articles, eight studies were included in the review and submitted to qualitative analysis. CONCLUSION It can be concluded that cleaning with a soft bristle brush, use of chlorhexidine and lip moisturizing are methods commonly used in dental care actions in patients hospitalized in intensive care units.
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Affiliation(s)
- Aline Aparecida Dos Santos
- Post-graduate Program in Dentistry, Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, Minas Gerais, Brazil
| | - Larissa Doalla de Almeida Silva
- Post-graduate Program in Dentistry, Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, Minas Gerais, Brazil
| | - Carolina Carvalho de Oliveira Santos
- Post-graduate Program in Dentistry, Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, Minas Gerais, Brazil
| | - Thiago Fonseca-Silva
- Post-graduate Program in Dentistry, Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, Minas Gerais, Brazil
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Wang Y, Qing S, Lan X, Li L, Zhou P, Xi Y, Liang Z, Zhang C, Xu C. Evaluating the long-term impact of COVID-19-associated public health interventions on zoonotic and vector-borne diseases in China: an interrupted time series analysis. J Transl Med 2024; 22:81. [PMID: 38245788 PMCID: PMC10799468 DOI: 10.1186/s12967-024-04855-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Accepted: 01/03/2024] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND The long-term impact of COVID-19-associated public health interventions on zoonotic and vector-borne infectious diseases (ZVBs) remains uncertain. This study sought to examine the changes in ZVBs in China during the COVID-19 pandemic and predict their future trends. METHODS Monthly incidents of seven ZVBs (Hemorrhagic fever with renal syndrome [HFRS], Rabies, Dengue fever [DF], Human brucellosis [HB], Leptospirosis, Malaria, and Schistosomiasis) were gathered from January 2004 to July 2023. An autoregressive fractionally integrated moving average (ARFIMA) by incorporating the COVID-19-associated public health intervention variables was developed to evaluate the long-term effectiveness of interventions and forecast ZVBs epidemics from August 2023 to December 2025. RESULTS Over the study period, there were 1,599,647 ZVBs incidents. HFRS and rabies exhibited declining trends, HB showed an upward trajectory, while the others remained relatively stable. The ARFIMA, incorporating a pulse pattern, estimated the average monthly number of changes of - 83 (95% confidence interval [CI] - 353-189) cases, - 3 (95% CI - 33-29) cases, - 468 (95% CI - 1531-597) cases, 2191 (95% CI 1056-3326) cases, 7 (95% CI - 24-38) cases, - 84 (95% CI - 222-55) cases, and - 214 (95% CI - 1036-608) cases for HFRS, rabies, DF, HB, leptospirosis, malaria, and schistosomiasis, respectively, although these changes were not statistically significant besides HB. ARFIMA predicted a decrease in HB cases between August 2023 and December 2025, while indicating a relative plateau for the others. CONCLUSIONS China's dynamic zero COVID-19 strategy may have exerted a lasting influence on HFRS, rabies, DF, malaria, and schistosomiasis, beyond immediate consequences, but not affect HB and leptospirosis. ARFIMA emerges as a potent tool for intervention analysis, providing valuable insights into the sustained effectiveness of interventions. Consequently, the application of ARFIMA contributes to informed decision-making, the design of effective interventions, and advancements across various fields.
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Affiliation(s)
- Yongbin Wang
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China.
| | - Siyu Qing
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Xianxiang Lan
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Lun Li
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Peiping Zhou
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Yue Xi
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Ziyue Liang
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Chenguang Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, School of Medical Technology, The First Affiliated Hospital, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, 453003, Henan, People's Republic of China
| | - Chunjie Xu
- Beijing Key Laboratory of Antimicrobial Agents/Laboratory of Pharmacology, Institute of Medicinal Biotechnology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
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Ozaki K, Nosaka N, Wakabayashi K, Tohara H. Intensive care education for dental students through online visits to ICU rounds. J Dent Educ 2023; 87 Suppl 3:1822-1824. [PMID: 36971295 DOI: 10.1002/jdd.13211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 03/11/2023] [Accepted: 03/18/2023] [Indexed: 03/29/2023]
Affiliation(s)
- Kenichiro Ozaki
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
- Department of Physical Medicine and Rehabilitation, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
| | - Nobuyuki Nosaka
- Department of Intensive Care, Tokyo Medical and Dental University Hospital, Tokyo, Japan
| | - Kenji Wakabayashi
- Department of Intensive Care, Tokyo Medical and Dental University Hospital, Tokyo, Japan
| | - Haruka Tohara
- Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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de Araújo ECF, da Silva RO, Raymundo MLB, Vieira TI, de Sousa SA, Santiago BM, Cavalcanti YW. Does the presence of oral health teams influence the incidence of ventilator-associated pneumonia and mortality of patients in intensive care units? Systematic review. SPECIAL CARE IN DENTISTRY 2023; 43:452-463. [PMID: 36210508 DOI: 10.1111/scd.12785] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 09/05/2022] [Accepted: 09/10/2022] [Indexed: 07/21/2023]
Abstract
AIMS To verify whether oral health teams influence the oral health status, ventilator-associated pneumonia incidence and mortality rate of patients in Intensive Care Units (ICU). MATERIALS AND METHODS Bibliographic searches were performed in PubMed, Scopus, Web of Science, Lilacs, Embase, Livivo, Open Grey, Academic Google, and Cochrane databases. The assessment of the methodological quality and risk of bias of the included studies and a random-effects meta-analysis to summarize relative risk data for ventilator-associated pneumonia (VAP) and mortality were performed. An analysis of the certainty of the evidence was performed for the main outcomes analyzed. RESULTS Records of 518 studies were analyzed by reading titles and abstracts. Five studies were included according to eligibility criteria. The meta-analysis showed that ICU patients undergoing dental care by an oral health team had a lower incidence of VAP (OR = 0.33; 95% CI: 014-0.76) but did not lower mortality rates (OR = 0.46 95% CI: 0.16-1.32). The certainty of the evidence was considered very low. CONCLUSION Dental care provided by oral health teams in a hospital environment did not influence oral health status or mortality, although it contributed to a reduction in VAP of patients admitted to the ICU.
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Affiliation(s)
- Elza Cristina Farias de Araújo
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Rênnis Oliveira da Silva
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Maria Letícia Barbosa Raymundo
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Thiago Isidro Vieira
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Simone Alves de Sousa
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Bianca Marques Santiago
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
| | - Yuri Wanderley Cavalcanti
- Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil
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