Oral evaluation and procedures performed by dentists in patients admitted to the intensive care unit of a cancer center
Carregando...
Citações na Scopus
12
Tipo de produção
article
Data de publicação
2014
Título da Revista
ISSN da Revista
Título do Volume
Editora
INFORMA HEALTHCARE
Autores
Citação
SUPPORTIVE CARE IN CANCER, v.22, n.10, p.2645-2650, 2014
Resumo
Most of the oral problems affecting patients in the ICU (intensive care unit) are conditions resulting from their general health status/immunosuppression, medications, and trauma due to tracheal intubation. Furthermore, microorganisms present in the oral cavity and oropharynx may be transported into the lungs resulting in pneumonia. The objectives of this study were to evaluate the oral problems in patients in the ICU of a cancer center and describe the procedures performed by the dentists in such patients. The sample consisted of 116 patients and 329 procedures performed in the period between May 2007 and July 2011 at A.C. Camargo Cancer Center. Oral mucositis was the main problem (20.3 %), especially in immunosuppressed patients (p < 0.001). Other most prevalent problems were candidiasis (16.6 %), bacterial biofilm (14.9 %), and xerostomia (7.18 %). The main procedures performed were clinical evaluation and medication prescription corresponding to 35.10 and 27.81 %, respectively. In conclusion, most of the patients presented oral problems related to side effects of oncological treatment. The dentist's participation in the ICU is important for the prevention, diagnosis, and treatment of oral problems.
Palavras-chave
Intensive care units, Immunosuppressed patients, Oral diseases, Oral hygiene, Oral health
Referências
- Alhazzani W, 2013, CRIT CARE MED, V41, P646, DOI 10.1097/CCM.0b013e3182742d45
- Andrews T, 2013, NURS CRIT CARE, V18, P116, DOI 10.1111/nicc.12002
- Carvalho PAG, 2011, ORAL ONCOL, V47, P1176, DOI 10.1016/j.oraloncology.2011.08.021
- Chastre J, 2002, AM J RESP CRIT CARE, V165, P867, DOI 10.1164/rccm.2105078
- Dennesen P, 2003, CRIT CARE MED, V31, P781, DOI 10.1097/01.CCM.0000053646.04085.29
- Depuydt P, 2006, CURR OPIN PULM MED, V12, P192
- Feider LL, 2010, AM J CRIT CARE, V19, P175, DOI 10.4037/ajcc2010816
- Gaudio RM, 2011, DENT TRAUMATOL, V27, P40, DOI 10.1111/j.1600-9657.2010.00956.x
- Givol N, 2004, J CLIN ANESTH, V16, P173, DOI 10.1016/j.jclinane.2003.06.004
- Goss LK, 2011, CLIN NURS RES, V20, P181, DOI 10.1177/1054773810392368
- Gupta A, 2006, J CAN DENT ASSOC, V72, P841
- Hernandez G, 2003, ORAL ONCOL, V39, P87, DOI 10.1016/S1368-8375(02)00009-X
- Jaguar GC, 2007, ORAL DIS, V13, P538, DOI 10.1111/j.1601-0825.2006.01330.x
- Kim KI, 2013, AM J HEMATOL, V88, P107, DOI 10.1002/ajh.23359
- Lalla RV, 2010, SUPPORT CARE CANCER, V18, P985, DOI 10.1007/s00520-010-0892-z
- Lorente L, 2012, EUR J CLIN MICROBIOL, V31, P2621, DOI 10.1007/s10096-012-1605-y
- Manas A, 2012, CLIN TRANSL ONCOL, V14, P740, DOI 10.1007/s12094-012-0861-8
- Munro CL, 2009, AM J CRIT CARE, V18, P428, DOI 10.4037/ajcc2009792
- Newland MC, 2007, J CLIN ANESTH, V19, P339, DOI 10.1016/j.jclinane.2007.02.007
- Ozcaka O, 2012, J PERIODONTAL RES, V47, P584, DOI 10.1111/j.1600-0765.2012.01470.x
- Radvansky LJ, 2013, AM J HEALTH-SYST PH, V70, P1025, DOI 10.2146/ajhp120467
- Rello J, 2013, CLIN MICROBIOL INFEC, V19, P363, DOI 10.1111/j.1469-0691.2012.03808.x
- Sasportas LS, 2013, OR SURG OR MED OR PA, V116, pE37, DOI 10.1016/j.oooo.2013.02.017
- Scannapieco FA, 2009, CRIT CARE, V13, DOI 10.1186/cc7967
- Sonis ST, 2009, ORAL ONCOL, V45, P1015, DOI 10.1016/j.oraloncology.2009.08.006
- Trotti A, 2003, RADIOTHER ONCOL, V66, P253, DOI 10.1016/S0167-8140(02)00404-8
- Turk G, 2012, INT J NURS PRACT, V18, P347, DOI 10.1111/j.1440-172X.2012.02045.x
- Vogel J, 2009, DENT TRAUMATOL, V25, P73, DOI 10.1111/j.1600-9657.2008.00670.x