Evidence map›Paper›PMID 18403205›Full record

ReviewIntensive & critical care nursing2008

Oral care and the risk of bloodstream infections in mechanically ventilated adults: A review.

Deborah J Jones, Cindy L Munro

Open access · greenAbstract readReview
In one paragraph

Review in Intensive & critical care nursing, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Evidence to support tooth brushing in critically ill patients.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2011
    Review
  4. Oral care and bacteremia risk in mechanically ventilated adults.Heart & lung : the journal of critical care
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Deborah J JonesUniversity of Texas Health Science Center at Houston School of Nursing, 6901 Bertner Avenue, #660, Houston, TX 77030, USA. deborah.j.jones@uth.tmc.edu <deborah.j.jones@uth.tmc.edu>
Cindy L Munro
The University of Texas Health Science Center at Houston · USVirginia Commonwealth University · US

Funding

Risk Reduction: Oral Care, Bacteremia and Critical CareF31NR009596 · NINR · VIRGINIA COMMONWEALTH UNIVERSITY · PI JONES, DEBORAH J · 2006 to 2007
$48k
NINR NIH HHS F31 NR009596
6 · The paper itself

Abstract

rationaleBacteraemia, defined as the presence of viable bacteria in the circulating blood can result in bloodstream infection, which is one of the most frequent and challenging hospital-acquired infections. Bacteraemia occurs in healthy populations with manipulation of the oral mucosa, including toothbrushing. Oral care is commonly administered to mechanically ventilated patients, it is important to determine whether this practice contributes to the incidence of bacteraemia. This paper reviews the literature on the link between the manipulation of the oral cavity and the development of bacteraemia in mechanically ventilated adults.

methodsSearches were conducted using Medline, CINAHL, and the Cochrane Library databases. Article inclusion criteria were (1) a focus on mechanical ventilation and critical illness, (2) human subjects, (3) adult subjects, and (4) publication in English (or available English translation).

resultsNine articles met inclusion criteria and were critiqued. All relied upon clinical data as outcome measures; many were retrospective. The three organisms most often associated with nosocomial bloodstream infections were Staphylococcus aureus, coagulase negative staphylococci, and Enterococcus species. Establishing the origin of bacteraemia was problematic in most studies.

conclusionsAdditional research is needed to understand the relationship of oral care practices to bacteraemia in mechanically ventilated adults.

Indexed as

AdultBacteremiaCritical CareCross InfectionHealth Services Needs and DemandHumansIncidenceInfection ControlMouth MucosaNursing Evaluation ResearchOral HygieneOutcome Assessment, Health CareResearch DesignRespiration, ArtificialRetrospective StudiesRisk Factors

Identifiers

PMID18403205
PMCPMC2753259
OpenAlexW2105271884

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.