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- Title
Use of chlorhexidine for oral hygiene in the ICU: Systematic review and meta-analysis.
- Authors
Silva e. Nunes, Paola; Correia Sampaio, Fábio
- Abstract
Objectives: to identify the different ways of using chlorhexidine for oral hygiene of patients in an ICU environment and which one provides the highest rate of VAP reduction. Methods: a Systematic Review was carried out, which had as a PICO strategy, patients admitted to the ICU, subjected to oral hygiene with chlorhexidine, evaluating the result on the reduction of VAP. Results: 0.12% chlorhexidine solution is the most used and generated a meta-analysis with 5 studies that showed that there is no statistical significance in the use of chlorhexidine in oral hygiene in these patients [RR 0.69 (95% CI % = 0.46 - 1.03)]. Conclusion: despite the growing use of oral hygiene with chlorhexidine in the ICU, there is no scientific evidence that it provides greater benefit in reducing VAP and, therefore, a better evaluation of the benefit in its frequent use is recommended.
- Subjects
INTENSIVE care units; RELATIVE medical risk; ONLINE information services; ORAL hygiene; META-analysis; CONFIDENCE intervals; SYSTEMATIC reviews; DESCRIPTIVE statistics; CHLORHEXIDINE; VENTILATOR-associated pneumonia; MEDLINE; DATA analysis software; DISEASE risk factors
- Publication
Saúde Coletiva, 2023, Vol 13, Issue 84, p12402
- ISSN
1806-3365
- Publication type
Article
- DOI
10.36489/saudecoletiva.2023v13i84p12395-12407