A retrospective study on the oral health of patients in the intesive care unit

Autores

  • Laura Gusmão Soares Diamantino Escola Bahiana de Medicina e Saúde Pública
  • Briana Góes Monteiro Escola Bahiana de Medicina e Saúde Pública
  • Juliana Borges de Lima Dantas Escola Bahiana de Medicina e Saúde Pública
  • Sílvia Regina de Almeida Reis Escola Bahiana de Medicina e Saúde Pública
  • Alena Peixoto Medrado Instituto de Ciências da Saúde da Universidade Federal da Bahia

DOI:

https://doi.org/10.9771/cmbio.v19i2.36692

Palavras-chave:

Intensive care units, Dental service hospital, Candidiasis, oral.

Resumo

Introduction: the oral condition of patients in the Intensive Care Unit (ICU) is extremely important for clinical status monitoring, as lesions in the oral mucosa may imply complications and worsening of the health status of these patients. A higher probability of adherence, colonization, and bacterial infection in the oral cavity of patients in the ICU has also been reported. The poor oral hygiene conditions of these patients may be related to the reduction of salivary flow and difficulties in maintaining oral hygiene in a hospital environment, which rarely employs dentists on staff. Objective: to analyze the dental condition of patients admitted to the ICU of Roberto Santos General Hospital, Salvador, Bahia, Brazil. Methodology: a total of 73 patients were evaluated through an oral examination performed with a wooden spatula and sterile gauze under natural light, and data were collected and analyzed. Results: the most commom oral lesions were tongue-coating (41%) and ulcerations in the oral mucosa caused by trauma or dehydration (19.1%). The occurrence of pseudomembranous candidiasis (8.2%), dehydration of the lips and mucosa (26%), and angular cheilitis (9.5%) was additionally recorded. It was observed that 31.5% patients had more than 10 days of hospitalization and of these, 26%
presented pseudomembranous candidiasis. This clinical condition was not seen in patients with a shorter hospital stay. Conclusions: this study suggest a possible association between the length of stay of these patients and the clinical conditions presented. Thus, the results of this study may guide preventive and curative measures implemented by dental surgeons who may, in the future, be part of the multidisciplinary team of professionals working in the hospital environment, especially in ICUs.

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Biografia do Autor

Laura Gusmão Soares Diamantino, Escola Bahiana de Medicina e Saúde Pública

Graduanda do Curso de Odontologia da Escola Bahiana de Medicina e Saúde Pública

Briana Góes Monteiro, Escola Bahiana de Medicina e Saúde Pública

Especialista em Cirurgia e Traumatologia Buco-Maxilo Facial - Escola Bahiana de Medicina e Saúde Pública

Juliana Borges de Lima Dantas, Escola Bahiana de Medicina e Saúde Pública

Mestre em Estomatologia - Escola Bahiana de Medicina e Saúde Pública

Sílvia Regina de Almeida Reis, Escola Bahiana de Medicina e Saúde Pública

Doutora em Patologia

Professora Adjunto da Escola Bahiana de Medicina e Saúde Pública

Alena Peixoto Medrado, Instituto de Ciências da Saúde da Universidade Federal da Bahia

Professora Adjunto do Departamento de Bionteração

Área: Patologia/ Microbiologia e Imunologia

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Publicado

2020-09-24

Como Citar

Diamantino, L. G. S., Monteiro, B. G., Dantas, J. B. de L., Reis, S. R. de A., & Medrado, A. P. (2020). A retrospective study on the oral health of patients in the intesive care unit. Revista De Ciências Médicas E Biológicas, 19(2), 287–291. https://doi.org/10.9771/cmbio.v19i2.36692

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