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| Professional Guidelines |
AACN Procedure Manual for Critical Care – Oral Care Interventions, 20051,*
“Assess oral cavity and lips every 8 hours, and perform oral care every 2 to 4 hours and as needed.† With oral care, assess for buildup of plaque on teeth or potential infection related to oral abscess.”
“Perform oral hygiene, using pediatric or adult (soft) toothbrush, at least twice a day. Gently brush patient’s teeth to clean and remove plaque from teeth.”†
“In addition to brushing twice daily, use oral swabs with a 1.5% hydrogen peroxide solution to clean mouth every 2 to 4 hours.”†
“With each cleansing, apply a mouth moisturizer to the oral mucosa and lips to keep tissue moist.”†
“Suction oral cavity/pharynx frequently.”††
* In addition to other interventions.
† Level IV: Limited clinical studies to support recommendations. †† Continuous suctioning: Level II: Theory based, no research data to support recommendations; recommendations from expert consensus group may exist. Intermittent suctioning: Level IV: Limited clinical studies to support recommendations.
1. Scott JM, Vollman KM, Endotracheal tube and oral care. In DJ Lynn-McHale Wiegand and KK Carlson (Eds.) AACN Procedure Manual for Critical Care, Fifth Ed., pp. 28-33, Elsevier Saunders, St. Louis, MO.
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CDC Guidelines for Preventing Health-Care--Associated Pneumonia, 2003
CDC, MMWR. March 26, 2004;53(RR03);1-36.
Download Oral Hygiene Excerpt (.pdf*)
Download Canadian French Oral Hygiene Excerpt (.pdf*)
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IHI 5 Million Lives Campaign targets VAP prevention
The 5 Million Lives Campaign is an initiative to protect patients from five million incidents of medical harm over the next two years (December 2006 – December 2008).
View campaign highlights
View campaign materials for VAP Prevention
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IHI improvement reports include oral care
Actual improvement reports as featured on the Institute for Healthcare Improvement website. Each facility featured either reduced or eliminated VAP.
View reports |
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National Nosocomial Infections Surveillance (NNIS) System Reports
Compare your facility's VAP rates to the most current NNIS System data. NNIS is a voluntary reporting system that monitors the incidence of healthcare-associated (nosocomial) infections (HAIs) and their associated risk factors and pathogens. Consisting of approximately 300 hospitals, NNIS is the only national system for tracking HAIs.
View reports |
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