• Br J Nurs · Jun 2019

    Review

    Does oral care with chlorhexidine reduce ventilator-associated pneumonia in mechanically ventilated adults?

    • Laura Jackson and Melissa Owens.
    • Nursing Sister, Neurosurgical Critical Care Ward L06/L07, Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds.
    • Br J Nurs. 2019 Jun 13; 28 (11): 682-689.

    AbstractOral colonisation by pathogens contributes to contracting ventilator-associated pneumonia (VAP). The aim of this review was to determine whether the use of the antiseptic chlorhexidine in the intra-oral cavity reduced its incidence in the critically ill, mechanically ventilated adult. The findings from this review led to the conclusion that chlorhexidine reduced the occurrence of VAP. Although a recommendation to implement the use of intra-oral chlorhexidine for mechanically-ventilated patients within critical care can be made, further exploration into required frequency and method of administration would be beneficial to reduce unnecessary exposure and hinder pathogenic resistance.

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