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mouth care to reduce ventilator-Associated pneumonia - Essay Example
Pages 3 (753 words)
Mouth Care to Reduce Ventilator-Associated Pneumonia Institution Mouth Care to Reduce Ventilator-Associated Pneumonia Introduction Ventilator associated pneumonia (VAP) is a hospital acquired pneumonia occurring within 48hours after the installation of mechanical ventilation with tracheal intubation…
However, in most of the patients, the VAP is caused by a combination of organisms. The diagnosis of VAP is difficult, making it difficult to account for VAP incidences. The endotracheal tube increases the risks of VAP by prevention of cough, prevention of upper airways filtering and inhibition of epiglottis and upper ways reflex actions. The most risk patients are patients over the age of 65, with underlying chronic illness. This condition is also prevalent in patients with immunosuppressant and previous pneumonia infection. Oral hygiene The significance of a patient’s oral and nasal hygiene is overlooked in most cases, even though it is the most basic of all the nursing interventions. The use of closed suction system (CSS) contributes significantly to the reduction of these cases (Rello et al., 2010). The mouth is a host of both the normal flora and the pathogenic organisms. Most of the studies advocate the use of chlorohexidine. However, it is important to understand that overuse of this oral rinse could result in the reduction of the oral bacterial load. This could lead to the development of chlorohexidine resistant organisms. The common suction program can be used to reduce colonization. The installation of the endotracheal tube prevents the glottis closure. ...