ORAL-DENTAL HEALTH PROTOCOLS IN PEDIATRIC INTENSIVE CARE UNITS-Çocuk Yoğun Bakım Ünitelerinde Ağız-Diş Sağlığı Protokolleri

Elif YAMAN-DOSDOĞRU, Meriç TÜMOĞLU, Zeynep AYTEPE
1.216 374

Abstract


ABSTRACT
Pediatric intensive care units are places where thousands of children take treatment for various reasons every year. Critically ill children need to be well-cared for getting beter and they need to protected from hospital infections. Many studies have showed that Ventialor Associated Pneumonia (VAP) is one of the most important causes of hospital infections and its incidence can be reduced by good oral care. Although oral care contains daily oral assessments and determination of the individual needs, brushing teeth, mouth moisturizing and mouthrinse use, many nurses prefer foam sticks to toothbrushes. In addition, the optimal frequency of oral health care applications is also a question. There are investigations about adult patients generally, but few research about children. For this reason, new researches about protocols for oral health care of hospitalized children are needed.

Keywords: Pediatric intensive care, oral health, protocol, dental health

ÖZ
Çocuk yoğun bakım üniteleri her yıl binlerce çocuğun çeşitli sebeplerden dolayı bakıldığı yerlerdir. Kritik durumdaki çocukların genel durumlarının düzelmesi için bakımlarının iyi bir şekilde yapılması ve çocukların hastane enfeksiyonlarından korunması gerekmektedir. En çok görülen hastane enfeksiyonlardan birinin Ventilatörle İlişkili Pnömoni (VİP) olduğu belirtilmektedir. VİP insidansının iyi bir oral bakım ile azaltılabildiği pek çok çalışma ile gösterilmiştir. Oral bakım; diş fırçalamayı, ağzı nemlendirmeyi, gargara kullanımını ve hastanın ihtiyacına göre günlük oral değerlendirmeyi içermesine rağmen hemşirelerin çoğu diş fırçası yerine köpük çubukları ve gaz tamponu tercih etmektedir. Bunun yanı sıra bu uygulamaların sıklığı da tartışma konusudur. Yapılan araştırmalar genellikle yetişkin yoğun bakımları ile ilgili olup çok azı çocuk yoğun bakımı ile ilgilidir. Bu nedenle çocuk hastaların ağız-diş sağlığı protokolleri hakkında yeni çalışmalara ihtiyaç duyulmaktadır.

Anahtar kelimeler: Pediyatrik yoğun bakım, ağız sağlığı, protocol, diş sağlığı


Keywords


Pediatric intensive care, oral health, protocol, dental health

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DOI: http://dx.doi.org/10.17096/jiufd.72443

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Corresponding Author: Elif YAMAN-DOSDOĞRU Department of Pediatric Dentistry Faculty of Dentistry Istanbul University 34093 Capa / İstanbul Phone: 0212 414 2020/30400 e-mail: elf_yamn@yahoo.com




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