Evidence map›Paper›PMID 37152554›Full record

ArticleJournal of oral microbiology2023

Antimicrobial oral lavage reduces the SARS-CoV-2 load in intubated patients: randomized clinical trial.

Letícia Mello Bezinelli, Luciana Corrêa, Stephany Beyerstedt, Érika Bevilaqua Rangel, Carlos Benitez, Nelson Hamerschlak, João Renato Rebello Pinho, Debora Heller, Fernanda de Paula Eduardo

Open access · goldAbstract read
In one paragraph

Article in Journal of oral microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

9 authors at 3 institutions in 2 countries.

Letícia Mello BezinelliHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-8635-0508
Luciana CorrêaSchool of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5774-0750
Stephany BeyerstedtHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-3307-1644
Érika Bevilaqua RangelHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-0982-2484
Carlos BenitezLatin American Oral Health Association, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-8512-6176
Nelson HamerschlakHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5140-5310
João Renato Rebello PinhoHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-3999-0489
Debora HellerHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5084-8179
Fernanda de Paula EduardoHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-6939-988X
Hospital Israelita Albert Einstein · BRThe University of Texas Health Science Center at San Antonio · USUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The oral cavity can be a reservoir for SARS-CoV-2 and may play a crucial role in the viral transmission in the hospital environment. Objective: To investigate whether an oral hygiene protocol with chlorhexidine (CHX) used alone and in combination with hydrogen peroxide (HP) in the intensive care unit was effective in reducing the SARS-CoV-2 viral load in the oral cavity. Methods: SARS-CoV-2 viral load was measured on oral fluid samples collected from patients undergoing orotracheal intubation. The study sample was randomly in: CHX group (n = 19) - oral rinse using only 0.12% CHX solution; HP+CHX group (n = 24) - oral rinse with 1.5% HP and 0.12% CHX. The samples were collected before the interventions (T0), immediately (T1), 30 minutes (T2) and 60 minutes (T3) after the procedure. Results: A significant viral load reduction was observed at T1 (mean ± SD:-0.57 ± 0.19 log10;-73.2%;p = 0.022) in the HP+CHX group. No statistically significant differences between any time points were observed in the CHX group. Conclusion: The HP+CHX oral rinses significantly reduced the SARS-CoV-2 viral load in the oral fluid immediately after the procedure. The CHX oral rinse alone did not result in any significant viral load reductions.

Indexed as

ChlorhexidineCOVID-19Hydrogen peroxideOral fluidOrotracheal intubationSARS-CoV-2

Identifiers

PMID37152554
PMCPMC10161956
OpenAlexW4311358351

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.