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Critical Care Research and Practice
Volume 2017, Article ID 1348372, 6 pages
https://doi.org/10.1155/2017/1348372
Research Article

Survey of Extent of Translation of Oral Healthcare Guidelines for ICU Patients into Clinical Practice by Nursing Staff

1Department of Medicine, Mayo Institute of Medical Sciences, Barabanki, India
2Department of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, India
3Department of Pedodontics, Faculty of Dental Sciences, King George’s Medical University, Lucknow, India
4Department of Medicine, Faculty of Medical Sciences, King George’s Medical University, Lucknow, India
5Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University, Lucknow, India

Correspondence should be addressed to Rameshwari Singhal; ude.aidnicmgk@lahgnisirawhsemar

Received 1 May 2017; Accepted 17 September 2017; Published 18 October 2017

Academic Editor: Rao R. Ivatury

Copyright © 2017 Vivek Agarwal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nosocomial infections in critically ill/ventilated patients result from bacterial load in oropharyngeal regions. Oral decontamination serves as the easiest effective means of controlling infections. Knowledge, attitude, and practices followed by healthcare personnel in intensive care settings need to be assessed to implement concrete measures in health-care. Survey questionnaire was constructed and implemented following its validation on seventy nursing and paramedical staff working in government and private intensive care units throughout Lucknow city. 21-item questionnaire consisted of three parts of seven questions each. 78% of respondents had knowledge regarding oral care and its importance in critical settings but 44% of respondents considered it to be unpleasant task. 36% of respondents claimed to have provided oral care to all patients in ICU. Uniform guidelines for translation of oral healthcare in ICU settings are not being implemented. Previous studies in literature from various geographic diverse regions also point out to similar lacunae. Based on present survey, most respondents were aware of importance of oral care with protocols covered in academic curriculum. Attitude towards oral care is positive but respondents feel a need for specialised training. Practice for oral care is not sufficient and needs improvement and proper implementation.