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key point
ask
Is daily tooth brushing among hospitalized patients associated with prevention of hospital-acquired pneumonia and better objective outcomes?
Discover
This systematic review and meta-analysis of 15 randomized clinical trials with an effective population of 2786 patients found that patients randomized to daily brushing, particularly those treated with daily brushing, had lower rates of hospital-acquired pneumonia. Invasive mechanical ventilation.
Brushing teeth was also associated with shorter duration of mechanical ventilation, shorter intensive care unit (ICU) length of stay, and lower ICU mortality, whereas there were no differences in length of stay and antibiotic use.
significance
These findings suggest that daily brushing may be associated with lower rates of tooth decay. Pneumonia and mortality in the ICUespecially in patients receiving invasive mechanical ventilation; programs and policies that encourage daily tooth brushing are reasonable.
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importance
this hospital acquired pneumonia (NHA) is the most common and morbid healthcare-associated infection, but data on effective prevention strategies are limited.
Purpose
To determine whether daily brushing is associated with reduced rates of hospital-acquired pneumonia (HAP) and other patient-related outcomes.
data source
We searched PubMed, Embase, Cumulative Index to Nursing and Allied Health, Cochrane Central Register of Controlled Trials, Web of Science, Scopus and 3 trial registers (from inception to 9 March 2023).
study options
Randomized clinical trial in hospitalized adults comparing daily oral care regimens of brushing and no brushing.
Data extraction and synthesis
Data extraction and risk of bias assessment were performed in duplicate. Meta-analysis was performed using a random effects model.
Main results and measures
he Main results This systematic review and meta-analysis focused on hospital-acquired pneumonia (HAP).this secondary results These include in-hospital and intensive care unit (ICU) mortality, duration of mechanical ventilation, in-hospital and ICU length of stay, and antibiotic use.