Evidence map›Paper›PMID 36816590›Full record

ArticleFrontiers in cellular and infection microbiology2023

Short-term effects of Chlorhexidine mouthwash and Listerine on oral microbiome in hospitalized patients.

Tsunglin Liu, Yen-Chin Chen, Shuen-Lin Jeng, Jui-Jen Chang, Jiu-Yao Wang, Cheng-Han Lin, Pei-Fang Tsai, Nai-Ying Ko, Wen-Chien Ko, Jiun-Ling Wang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  9. Oral Microbiome Changes During Hospitalization in Older Adults Not Receiving Mechanical Ventilation.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Observational
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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

10 authors at 3 institutions in 1 country.

Tsunglin LiuDepartment of Biotechnology and Bioindustry Sciences, National Cheng Kung University, Tainan, Taiwan.
Yen-Chin ChenDepartment of Nursing, National Cheng Kung University Hospital, Tainan, Taiwan.
Shuen-Lin JengDepartment of Statistics, Institute of Data Science, Center for Innovative FinTech Business Models, National Cheng Kung University, Tainan, Taiwan.
Jui-Jen ChangGraduate Institute of Integrated Medicine, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Jiu-Yao WangCenter of Allergy, Immunology and Microbiome (AIM), Department of Allergy and Immunology, China Medical University Children's Hospital, Taichung, Taiwan.
Cheng-Han LinCenter of Allergy, Immunology and Microbiome (AIM), Department of Allergy and Immunology, China Medical University Children's Hospital, Taichung, Taiwan.
Pei-Fang TsaiDepartment of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Nai-Ying KoDepartment of Nursing, National Cheng Kung University Hospital, Tainan, Taiwan.
Wen-Chien KoDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Jiun-Ling WangDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
China Medical University · TWNational Cheng Kung University Hospital · TWNational Cheng Kung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chlorhexidine (CHX) and essential oil containing mouthwashes like Listerine Methods: We recruited 87 hospitalized patients from a previous randomized control study, and assigned them to three mouthwash groups: CHX, Listerine, and normal saline (control). Before and after gargling the mouthwash twice a day for 5-7 days, oral bacteria were examined using a 16S rDNA approach. Results: Alpha diversities at the genus level decreased significantly only for the CHX and Listerine groups. Only for the two groups, oral microbiota before and after gargling were significantly different, but not clearly distinct. Paired analysis eliminated the substantial individual differences and revealed eight bacterial genera (including Discussion: In conclusion, short-term gargling of the CHX mouthwash and Listerine altered oral microbiota in our hospitalized patients. The bacterial genera targeted by the CHX mouthwash and Listerine were largely different and the magnitudes of changes were smaller using Listerine. Functional alterations of gargling CHX and Listerine were also different. These findings can be considered for managing oral hygiene of hospitalized patients.

Indexed as

ChlorhexidineMicrobiotaBacteriaDrug CombinationsHumansMouthwashesNitratesSalicylatesTerpenesChlorhexidineDrug CombinationsListerineMouthwashesNitratesSalicylatesTerpenesChlorhexidineessential oilListerine antiseptic mouth rinsemouthwashoral microbiome

Identifiers

PMID36816590
PMCPMC9932516
OpenAlexW4319019108

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.