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IRCT2015100424342N1 IRCT 2015-11-04 Vice-Chancellor of Research and Technology, Mazandaran University of Medical Sciences The effect of systematic oral care on pulmonary infection in intensive care unit The effect of systematic oral care on the preventing ventilator associated pneumonia in critically ill patients 2015-10-23 anticipated 100 Complete https://irct.ir/trial/20576 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Ventilator-Associated Pneumonia. Intervention 1: In intervention group, at first, oral condition of the patient will be scored by Beck form to determine the times of oral care. During each oral care, Endotracheal tube cuff pressure will be set in the range of 20 cm H2O. Teeth will be brushed by children soft toothbrush and toothpaste and washed with normal saline serum with suction in the same time. the amount of Mouthwash solution include 5 ml of % 12 Chlorhexidin will be sprayed on teeth. So the oral cavity’ s suction will be done in mouth and throat simultaneous . Finally, lips get wet using moisturizing cream. Intervention 2: In the control group, oral care will be performed by staff based on the daily routine.
public Abdollah Haghighi
Imam Reza Hospital
Amol Iran (Islamic Republic of) +98 11 4327 0693 v.shafipour@mazuma.ac.ir; vidashafipour@yahoo.com; abdollahhaghighi1358@gmail.com Mazandaran University of Medical Sciences scientific Vida SHafipour
Nasibeh School of Nursing and Midwifery, Vesal Shirazi Street
Sari Iran (Islamic Republic of) +98 11 3336 7342 v.shafipour@mazuma.ac.ir; vidashafipour@yahoo.com; abdollahhaghighi1358@gmail.com Mazandaran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion Criteria: Having intubation during study, Age between 18 to 65 years, Admision on ICU less than 12 hours, No further intubation, No extreme trauma of the face and mouth, No current hospitalization in other parts of the hospital, No pregnancy, Not having chronic disease and immune disorder, Patient with natural teeth, Lack of lung disease, Pneumonia and Sepsis according to CPIS tools. Exclusion Criteria: Transferring the patient from ICU or his/her death, Unwillingness to continue the study from the patient's legal guardian, Less than 48 hours under mechanical ventilation, Removing intubation before end of study, Allergic to chlorhexidine 18 years 65 years Both J95.8 Other Postprocedural Respiratory Disorders Prevention Prevention In intervention group, at first, oral condition of the patient will be scored by Beck form to determine the times of oral care. During each oral care, Endotracheal tube cuff pressure will be set in the range of 20 cm H2O. Teeth will be brushed by children soft toothbrush and toothpaste and washed with normal saline serum with suction in the same time. the amount of Mouthwash solution include 5 ml of % 12 Chlorhexidin will be sprayed on teeth. So the oral cavity’ s suction will be done in mouth and throat simultaneous . Finally, lips get wet using moisturizing cream. In the control group, oral care will be performed by staff based on the daily routine. Ventilator-Associated Pneumonia. Timepoint: First, Third, Fifth Day. Method of measurement: CPIS. Oral Health. Timepoint: Daily for 5 days. Method of measurement: BRUASHED Scale. Mucosal-Plaque Position. Timepoint: First, third, Fifth Day. Method of measurement: Mucosal-Plaque Score. Vice-Chancellor of Research and Technology, Mazandaran University of Medical Sciences Approved 2015-09-12 Vice-Chancellor of Research and Technology, Mazandaran University of Medical Sciences Moalem Square Sari Iran (Islamic Republic of)