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KMID : 1004620110170020150
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Clinical Nursing Research
2011 Volume.17 No. 2 p.150 ~ p.162
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Comparison of Oral Care and Ventilator Circuit on the Reduction of Multi-drug Resistant Infections among Intensive Care Unit Patients
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Shin Eun-Suk
Lee Kyoung-Jin
Choi Eun-Jung
Lim Sung-Chul
Lee Eun-Sook
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Abstract
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Purpose:Multi-drug resistant (MR) infections among intensive care unit (ICU) patients with oral intubation and a ventilator are serious nosocomial infections. This study was done to compare the effects of oral care and ventilator circuit on reduction of MR infections.
Methods:A total of 92 participants were recruited from an ICU at C University Hospital in G-city, Korea, assigned to one of 4 groups and evaluated: group I received oral care with sponge and reusable circuit; group II received oral care with tooth brush and reusable circuit; group III received oral care with sponge and disposable circuit; group IV received oral care with tooth brush and disposable circuit.
Results:Prevalence rate of MR infections was highest in group I (47.8%), followed by group II (30.4%), group IV (19.0%), and group III (13.6%). Of the four groups, group III showed a significantly decreased MR infections (p=.035) and higher possibility of survival rate as time passes according to survival analysis (p=.019).
Conclusion: Results of this study indicate that using disposable ventilator circuit significantly decreases MR infections and raises the possibility of a higher survival rate as time passes. According to this study, the use of disposable ventilator circuit is useful in prevention of MR infections.
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KEYWORD
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Oral care, Ventilators, Multi-drug resistant
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