The Effect of Oral Management in Patients with Cardiovascular Disease Receiving Cardiac Surgery
Project/Area Number |
25862084
|
Research Category |
Grant-in-Aid for Young Scientists (B)
|
Allocation Type | Multi-year Fund |
Research Field |
Social dentistry
|
Research Institution | Nagasaki University |
Principal Investigator |
YOSHITOMI Izumi 長崎大学, 医歯薬学総合研究科(歯学系), 客員研究員 (90363457)
|
Project Period (FY) |
2013-04-01 – 2016-03-31
|
Project Status |
Completed (Fiscal Year 2015)
|
Budget Amount *help |
¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
|
Keywords | 周術期口腔管理 / 心臓手術 / 感染性心内膜炎 / 人工呼吸器関連肺炎 / 合併症 / 医科歯科連携 / 歯性感染症 |
Outline of Final Research Achievements |
We investigated the effect and meaning of oral care in patients with cardiovascular disease receiving cardiac surgery. A total of 192 patients underwent perioperative oral management and none of them developed IE after surgery. The results suggest the effect of perioperative oral management on prevention of IE. In 42 ventilated patients after heart surgery in the Intensive Care Unit (ICU), the status of dental plaque, tongue coating and bacterial count were examined. Oral bacteria remarkably decreased for about 6 hours when topical tetracycline was applied, although topical povidone iodine exhibited no apparent effects. These results indicate that irrigation of the oral cavity and oropharynx followed by topical antibiotic administration may reduce oral bacteria in mechanically ventilated patients.
|
Report
(4 results)
Research Products
(1 results)