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Chamberlain College of Nursing - NR 449Literature Review - Oral chlorhexidine use to prevent VAP in adults.

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Oral Chlorhexidine Use to Prevent Ventilator-Associated Pneumonia in Adults Review of the Current Literature Lisa M. Zuckerman, MSN, RN Ventilator-associated pneumonia (VAP) describes pneumonia ... in patients requiring mechanical ventilation that was not present prior to intubation. Ventilator-associated pneumonia concurrently increases patient mortality, hospital length of stay, and health care costs. Ventilator-associated pneumonia also contributes to patient morbidity, which is challenging the progression of patient care in intensive care units throughout the United States. Through critique of current literature, suitable interventions for intensive care unit implementation to prevent VAP are clearly identified. Oral health was shown in this literature to greatly contribute to the development or prevention of VAP; it can be compromised by critical illness and mechanical ventilation while being influenced by nursing care. Oral health is managed by proper oral care using oral chlorhexidine in order to decrease oral bacteria and potential oropharynx colonization. The previously mentioned literature review demonstrates a decrease in VAP rates with the use of such oral interventions as chlorhexidine. These research results will support and influence patient care practices considering nursing and medicine are driven by evidence rather than experience to prevent avoidable patient harm. Keywords: Adult, Chlorhexidine, Efficacy, Intensive care unit, Oral care, Prevention, Ventilator-associated pneumonia [DIMENS CRIT CARE NURS. 2016;35(1):25/36] Ventilator-associated pneumonia (VAP) is a health careY associated infection (HAI) that often results in high morbidity and morality. Ventilator-associated pneumonia occurs in up to 25% of ventilated patients and is responsible for approximately 90% of nosocomial infections. Patients require at least 48 hours of endotracheal [Show More]

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