The New VAP Prevention Guidelines
and the Importance of Oral Care
Speaker:
Gail S Drescher MA RRT RRT-ACCS,
Pulmonary Services Department
MedStar Washington Hospital Center
Washington, DC,
Description
VAP is a common complication that occurs in ICU patients and is a high-risk factor for patient mortality. Daily oral hygiene is a critical care component in patients receiving mechanical ventilation because pathogens that colonize the mouth and throat can serve as a reservoir for potential nosocomial infections. According to the 2022 Consensus Guidelines for VAP (ventilator-associated pneumonia) prevention, the most recommended oral care practice is routine tooth brushing without the use of chlorhexidine as a primary method to reduce the risk of VAP; this includes brushing teeth, gums, and tongue at least twice daily with a soft toothbrush while also moisturizing the oral mucosa regularly. Additional oral care practices like tongue scrapping and/or suctioning may be necessary. In this webinar, you will learn how adequate oral care can play a significant role in preventing negative consequences.
Learning Objectives
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Discuss the risk factors for the development of VAEs related to oropharyngeal colonization.
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Describe the literature related to the prevention of VAEs through oral care.
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Describe the best practices in oral care for the ventilated patient based on the 2022 VAP Prevention Guidelines.