Page 156 - Demo

156Intersurgical • Quality, innovation and trustOral CareReduce VAP with Oral CareVentilator Associated Pneumonia (VAP) causes prolonged intubation and a prolonged stay in intensive care units (ICU) with the associated costs. It is also a serious cause of mortality in compromised patients.A combination of oral care treatments (brushing and suctioning) as part of a proper oral care protocol means care providers can efficiently prevent build up of oropharyngeal bacterial biofilm. This in turn leads to a reduction of VAP and aspiration pneumonias and greatly reduces associated treatment costs.1.2.3.VAP Fact 1: VAP occurs in 9 – 25% of all patients in ICUVAP Fact 2: Each case of VAP costs the hospital $30,000 – $40,000VAP Fact 3: VAP mortality rate is approximately 10 – 40%Protocols and Assessment GuidesAs patients have quite different oropharyngeal conditions, which may change quickly during their hospital stay, the status of the oropharynx needs to be assessed as a daily routine. We have created an assessment guide which can be downloaded to help start the process.Supporting videosFor correct set-up and connection of the Intersurgical Oral Care products, please view the appropriate video.References1. R. Garcia, L. Jendresky, L. Colbert, A. Bailey, M. Zaman et M. Majumder, Reducing Ventilator-Associated Pneumonia Through Advanced Oral-Dental Care: A 48-Month Study, AJCC, July 2009.2. J. Rello, D. Ollendorf, G. Oster, M. Vera-Llonch, L. Bellm, R. Redman, M. Kollef: Epidemiology and outcomes of ventilator-associated-pneumonia in a large US database, Chest, December 2002.3. L. Frampton: Preventig HCAI on the intensive care unit, The Clinical Services Journal, March 2014.Four stages of plaque build upDental plaque is a biofilm made up of bacteria and their excretions, sitting mainly at the gum line and between teeth.AspirationFrom the oropharynx saliva, mucous and biofilm build-up move to the ET tube cuff and may be aspirated into the lungs, as the cuff seal will never be 100%. When aspirated into the lungs, these bacteria may cause VAP and require treatment with antibiotics.Trachea ET Tube AIR/Sputum/BacteriaCuffBiofilm sits mainly at the gum line and between the teethFluid channelsTooth surfaceBacterial microcoloniesExtracellular slime layerStage 1 AttachmentStage 2 Initial colonizationStage 3 Secondary colonizationStage 4 Mature biofilmBiofilmFresh biofilm will develop after each intervention and will cover the complete tooth surface in only two hours. The biofilm protects pathogenic bacteria such as MRSA and Klebsiella, which are common problems in many intensive care units. Biofilm must be broken up prior to the application of antibacterial agents.Watch the videoFind out more