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"1.What is the most effective intervention to decrease VAP in terms of using antiseptic chlorhexidine oral care versus standard toothbrush oral care"
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Nursing is a critical area in the healthcare sector, hence the need to embrace its significance in the treatment process. This research will analyze the most effective intervention to decrease VAP in adult ICU. To achieve the best results, it will utilize the PICOT analysis is the attainment of the research objective.
The first article to examine is by GU, Gong, Pan, Ni, & Liu (2012) that carried out a meta-analysis of the impacts of oral hygiene on the VAP for critically ill patients. In their study, GU, Gong, Pan, Ni, & Liu (2012) noted that oral hygiene did not show significant variation in VAP condition for ill patients who had mechanical ventilation who used toothbrush and those who did not. In addition, the study revealed that the toothbrushing did not have significant results in reducing the mortality rate, the hospital length of stay during both the antibiotics free day and also the mechanical ventilation free day of the study. There is a contradiction with the findings of this study with those of the previous studies. In the 828 patients used in this study show that there was no significant variation in changes when oral hygiene was practiced and when it was not in the control of VAP. However, then it is viewed, discussed that the use of oral hygiene with purified water was effective in controlling the chances for the occurrence of VAP in critically ill patients. This research contradicted the previous research where oral hygiene for patients in the ICUs would significantly reduce the chances of VAP infection for the patients who are under mechanical ventilation.
On the other hand, the study conducted by Cindy, et al (2009) found out that VAP increases the cost of health care, morbidity, and mortality of the patients in the intensive care units. In addition, the study found that there is a significant reduction in VAP infection through ...
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