THE EFFECTIVENESS ORAL ANTISEPTIC AS PRECAUTION OF VENTILATOR ASSOCIATED PNEUMONIA (VAP) : SYSTEMATIC REVIEW

Abstract

ABSTRACT

Ventilator-associated pneumonia (VAP) is defined as pneumonia that occurs more than 48 hours or thereafter following endotracheal intubation and detection of a causative agent among mechanically ventilated patients. Ventilator-associated pneumonia (VAP) is one of the most common nosocomial infections which increase duration of mechanical ventilation and length stay of hospitalisation. Oral carewith the use of antiseptics, itis expected to reduce the growth of bacteria in the oropharynx and decreasing the incidence of VAP. Oral care in the literature are chlorhexidine,  sterile water, povidone-iodine, sodium bicarbonate, listerin, and normal saline. The purpose of this study was to critically analyze the effective oral antiseptic as precaution ventilator-associated pneumonia (VAP). Journal article are made through several database including Google Scholar,Proquest, and Science Direct that start from2009 up to 2018. The result showed that Chlorhexidine gluconate 0,2% and 0,12% were more effective oral antiseptic than listerin, povidone-iodine 1%, sodium bicarbonate, normal saline, and sterile water as precaution ventilator-associated pneumonia (VAP).

 

Keywords: mechanical ventilation; oral antiseptic; oral care;ventilator-associated pneumonia