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Oral Care Protocol for Preventing Ventilator- Associated Pneumonia (VAP)
This study has been completed.
First Received: January 7, 2008   Last Updated: January 16, 2008   History of Changes
Sponsors and Collaborators: Mackay Memorial Hospital
National Taiwan University
Information provided by: Mackay Memorial Hospital
ClinicalTrials.gov Identifier: NCT00604916
  Purpose

The Nosocomial Pneumonia remains to be a major complication for patients who were incubated with ventilation.

Most cases are attributed to increased bacteria flora in oropharyngeal secretion and aspiration of those organisms. Research indicates that the Gram-Negative Bacteria grows in upper air way and trachea rapidly during the initial 2-4 hospital days and the dental plague also increased dramatically at the first 5 days. About 50% cases with prolonged intubation experienced temporal swallowing disorders and majority of them recovered 7 days post weaning. Some evidence exist suggesting that oral care could reduce bacterial flora, prevent aspiration, and subsequently decrease the incidence of ventilation-associated pneumonia for this group of high risk patients.

This study aims to evaluate the effectiveness of a standardized oral care protocol in improving oral hygiene and reducing the incidence of pneumonia on a sample of surgical patients at intensive care unit.


Condition Intervention Phase
Pneumonia
Other: standardized oral care protocol - electronic toothbrush
Other: mimic protocol
Phase 0

Study Type: Interventional
Study Design: Prevention, Randomized, Single Blind (Investigator), Parallel Assignment
Official Title: The Effectiveness of an Oral Care Protocol in Preventing Ventilator- Associated Pneumonia for Intensive Care Unit Patient

Resource links provided by NLM:


Further study details as provided by Mackay Memorial Hospital:

Primary Outcome Measures:
  • the oral hygiene status measured by the oral assessment guide and plague index [ Time Frame: every 3~4days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • The incidence of VAP defined by the Clinical Pulmonary Infection Score [ Time Frame: a 7 day oral care protocol duration ] [ Designated as safety issue: Yes ]

Enrollment: 53
Study Start Date: March 2007
Study Completion Date: January 2008
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
E: Experimental
received a 7 day standardized oral care protocol
Other: standardized oral care protocol - electronic toothbrush
a standardized 20-minute oral care protocol using an electronic toothbrush to clean and moisturize oral cavity twice daily.
C: Placebo Comparator
received a 7 day mimic protocol
Other: mimic protocol
a mimic 20-minute protocol involving moisturizing and attention control was performed for the same intervals.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients newly admitted to SICU who were under ventilator support for 48~72 hours

Exclusion Criteria:

  • With pneumonia present
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00604916

Sponsors and Collaborators
Mackay Memorial Hospital
National Taiwan University
Investigators
Principal Investigator: li-yin YAO, BSN School of Nursing, National Taiwan University
  More Information

No publications provided

Responsible Party: School of Nursing, National Taiwan University ( li-yin YAO )
Study ID Numbers: MMH-I-S-402
Study First Received: January 7, 2008
Last Updated: January 16, 2008
ClinicalTrials.gov Identifier: NCT00604916     History of Changes
Health Authority: Taiwan: Institutional Review Board

Keywords provided by Mackay Memorial Hospital:
oral hygiene

Study placed in the following topic categories:
Respiratory Tract Infections
Respiratory Tract Diseases
Lung Diseases
Pneumonia, Ventilator-Associated
Cross Infection
Pneumonia

Additional relevant MeSH terms:
Respiratory Tract Infections
Respiratory Tract Diseases
Lung Diseases
Infection
Pneumonia, Ventilator-Associated
Cross Infection
Pneumonia

ClinicalTrials.gov processed this record on September 10, 2009