Establishment of optimum oral care procedure in patient with endotracheal intubation orally for preventing ventilator-associated pneumonia
| Project/Area Number |
26463083
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Surgical dentistry
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| Research Institution | Hyogo Medical University |
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Principal Investigator |
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| Project Period (FY) |
2014-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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| Keywords | 口腔ケア / 人工呼吸器関連肺炎 / 菌量 / 術後肺炎 / 歯垢 / ブラッシング / 口腔ケアキット / 脳神経外科 / 汚染物の回収 / オーラルマネジメント / 気道管理 / 緊急手術 / 人工呼吸器関連事象 / ランダム化比較試験 / 保湿 / 口腔洗浄 / 口腔清掃 / 人工呼吸 / 肺炎 / CPIS / 気管挿管 / 人工呼吸関連肺炎 / 集中治療 / 吸引 |
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| Outline of Final Research Achievements |
Prospective randomized controlled clinical trial of oral care for the prevention of ventilator-associated pneumonia (VAP) was performed. The subjects were emergency conveyed seriously ill patients who were tracheal intubated orally in critical care center of our college hospital. The patients were divided into two groups, a conventional oral care using a commercially available tooth brush (C group) and a novel oral care using oral care kit “Q-Care” (Q group). Q-Care kit contains the toothbrush with suction device which reduce the scattering of contaminant including microbes during brushing of oral care.
The quantity of bacteria of the pharynx just before the oral care decreased over time in the Q group, whereas that of the C group increased adversely. The incidence of VAP in the Q group was three of 20 cases, while that of the C group was nine of 16 cases, therefore the VAP rate was significantly lower in the Q group (p<0.01).
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Report
(5 results)
Research Products
(54 results)
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[Presentation] VAP予防のため口腔ケア2016
Author(s)
岸本裕充
Organizer
第61回日本集中治療医学会近畿地方会教育講演
Place of Presentation
毎日新聞ビル オーバルホール（大阪府大阪市）
Year and Date
2016-07-09
Related Report
Invited
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